JULY SUMMER DAY CAMP REGISTRATION FORM
Reins of Rhythm is excited to present 3 SUMMER FUN HORSE DAY CAMPS.
These camps are limited to 5 riders per camp and will be on a first come first serve basis SO REGISTER NOW! Each camp will have a different theme and youth will learn different riding styles, horsemanship skills and more.
DATES:
Tuesday, July 26th 10am - 2pm - RODEO DAY
Thursday, July 28th 10am-2pm - TRAILS & TRAIL OBSTACLES ADVENTURE DAY
Friday, July 29th 10am-2pm - VAULTING AND TRICK RIDING
FEE: $125/per camp/per child. No multiple registration discounts. 1 registration form should be filled out for each child attending. Each day camp will be limited to just 5 children, so children get a lot of 1 on 1 instruction and horse time!  

These camps are well-suited for AGES 5-16; campers will have individualized activities and goals with-in the group setting.  Registrations will be on a first come first serve basis and capped off at 5 per camp.  You child is welcome to attend all camps.

Children should bring a packed lunch and a water bottle. Snacks and waters will be provided throughout the day. Closed foot shoes are required. If child has their own riding helmet, please bring it along. Helmets are available to borrow.

This registration also contains a liability waiver form and photo release acknowledgement - please review and use the e-signature option to complete all necessary forms.
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Email *
Parent or Guardian Name *
Participant (Rider) Name *
Participant (Rider) Age *
Rider Weight (For the safety of horse and rider we have a weight limit for riding activities: under 170lbs) *
Allergies *
Medical Concerns/ Medications and/ or Special Needs:   *
In Case of Emergency Contact: (Name & Phone) *
Name of person picking child up from camp: *
CAMP DATE SELECTION (Check all that apply for your registration $125/per child/per date *
Required
Email *
Phone Number *
Street Address *
City *
State *
Zip Code *
Select Form of Payment (Payment required to hold spot) $125/ per child/per camp NOTE: We will offer a make up camp day should the weather cause us to cancel a camp.  There will be no refunds on camp fees. If for some reason your child is unable to attend after registering, we will schedule a 2-hour individual PONY PLAY DATE ADVENTURE with your child and 1 friend.   *
Required
Photo Release:I hereby consent to and authorize all photographs to be used in Reins of Rhythm Riding & Horsemanship publications, Reins of Rhythm social media outlets and/or websites. I also consent and authorize the use and reproduction of any photographs taken of me, or my son/daughter, or ward for promotional printed material or educational activities. *
Required
Reins of Rhythm Riding & Horsemanship RELEASE AND HOLD HARMLESS AGREEMENT WHEREAS, the UNDERSIGNED acknowledges the inherent risks involved in riding and working around horses, which risks include  bodily injury from using, riding or being in close proximity to horses, among other risks, and further, that both horse and rider can be  injured in normal use or in competition and schooling;  IN CONSIDERATION, therefore, for the privilege of taking lessons and working around horses with Reins of Rhythm, the Undersigned  does hereby agree to hold harmless and indemnify the facility, its owners, volunteers, officers, agents, independent contractors and  employees (all of these hereafter referred to and included under : Reins of Rhythm) and further release Reins of from any liability or  responsibility for accident, damage, injury, or illness to the undersigned or any horse owned or leased by the Undersigned or to any family  member or spectator accompanying the Undersigned while under the direction and instruction of Reins of Rhythm. In consideration to be accepted into this program and intending to be legally bound hereby, you agree to assume the risk of equine activities pursuant to Pennsylvania Law. The undersigned participant understands that equestrian activities are inherently dangerous and accepts risks involved therein (including, without limitation, the risk of injury to the participant and, death and damage or destruction of horses and other property).  Reins of Rhythm Release and Hold Harmless Agreement  I, ____________________________________________, the undersigned (“The Rider”), being above age eighteen, or the legal  guardian of the undersigned who is under age eighteen, in consideration for being to engage in any equine activity or event thereon, do  hereby acknowledge the assumption of risk of participating in any equine activity at the facility, and further agree to waive rights,  and release and discharge Reins of Rhythm behalf of the Rider, myself, my heirs, assigns, personal representative and estate as follows.  The Effective Date of this Agreement is ________________________________.  1. ACKNOWLEDGEMENT OF RISK Although every effort has been made to provide a safe environment for the safe and enjoyable conduct of equine activities, any activity performed with or around a horse is not without certain known and unknown risks. The same elements that contribute to the unique character of horseback riding can also cause loss or damage to equipment or property, accidental injury to participants, illness, or in extreme cases, permanent injury or death. Injuries and property damage due to equine related activities are not uncommon. A horse, regardless of its training and usual past behavior, may act unpredictably at times based upon instinct or fright, which may cause the Rider to be thrown from his/her horse or injured by the horse. Horses may do such things as bite, kick, buck, rear, lie down, trample, or stumble.  Saddles may slip and other tack or saddle problems may develop as a result of normal use and wear. A horse may collide or spook from obstacles or encounter variations in terrain such as creeks, water, bridges, traveled roads, wild animals, birds, stumps, forest growth, debris, rocks and cliffs and other obstacles whether obvious or not and whether man made or natural. Each of those obstacles or variations in terrain could cause the Rider to lose control of his/her horse and fall.  Accordingly, by the Rider’s signature below, he/she acknowledges the known and unknown risks; identified or unidentified above, anticipated or unanticipated that may, by participating in any equine activity at the facility, result in bodily injury, death, illness, or damage to the Rider or his/her property or to the body and property of others.  2. ACCEPTANCE AND ASSUMPTION OF RISK AND RESPONSIBILITY Being aware that any equine activity in which the Rider participates in, there are unknown risks of injury, the Rider expressly agrees to accept all risks, including risks, known and unknown, arising from participation in any equine activity, whether or not the Rider is in the saddle or on the ground, a handler or merely a spectator. Participation in any activity upon the Property of the Facility is purely voluntary and the Rider elects to participate in spite of the risks.  3. WAIVER AND RELEASE OF RIGHTS  The Rider voluntarily releases and forever discharges Reins of Rhythm from any and all liability, claims, damages, demands, attorney  fees, actions or rights of action, which are related to, arise out of, or are in any way connected with the Rider’s participation in any  equine activity, including specifically but not limited to the negligent acts or omissions of the facility, for any and all bodily injury, death,  illness, or damage to Rider or Rider’s property, or injury to the person or property of a another. Rider holds harmless and indemnifies Reins of Rhythm from any and all liability, claims, damages, defense costs, attorney’s fees, and any other costs or expenses incurred in connection with any claims for bodily injury or property damage which Rider may acquire, or which Rider may negligently or intentionally cause to others in the course of participation of any equine activity upon the property of the facility.  4. ACKNOWLEDGEMENT OF EFFECT OF THIS RELEASE Rider understands and acknowledges that by signing this Release, he/she has waived and relinquished certain legal rights and/or possible claims which Rider might otherwise be entitled to assert or maintain against Reins of Rhythm including specifically, but not limited to, rights arising from or claims for the negligent acts or omissions. Rider further acknowledges that he/she has assumed all risks of participation in any equine activity and legal liability for claims or other legal demands, including defense costs, which may be asserted by third parties against Rider as a result of his/her participation in any equine activity.  Rider understands and acknowledges that by signing this document, he/she waives and releases the protection(s) afforded by any statute or law concerning property owner liability, whose purpose, substance and/or effect is to provide that a general release shall not extend to claims, material or otherwise, which the person giving the release does not know or suspect to exist at the time of executing the release.  Rider’s signature below indicates that he/she has read this entire Release, understands it completely, and acknowledges that he/she is waiving and releasing potential legal rights and claims against Reins of Rhythm, its owners, officers, operators, employees, volunteers, independent contractors and agents. This Agreement shall be governed in all respects by the laws of the Commonwealth of Pennsylvania, and if any litigation arises in connection with this Release, the prevailing party in such dispute shall be entitled to recover attorney fees and costs. While on the property of the facility, the rider agrees to act in accord with all facility rules.   *
Required
CONSENT TO E-SIGNATURE  Please review the agreement below to provide consent to accept submission of this form/document and your electronic agreement of the; questions, disclosures, consents and agreements answered and provided in the PARTICIPANT APPLICATION FORM, as your legal e-signature. You consent and agree that your use of a keypad, mouse or other device to select an item, button, icon or similar act/action while using this electronic form submission and regarding any agreement, acknowledgement, consent, terms, disclosures or conditions constitutes your signature, acceptance and agreement as if actually signed by you in writing. Further, you agree that no certification authority or other third-party verification is necessary to validate your electronic signature; and that the lack of such certification or third-party verification will not in any way affect the enforceability of your signature or resulting agreement between you and Reins of Rhythm Riding & Horsemanship. You understand and agree that your e-Signature executed in conjunction with the electronic submission of this application shall be legally binding and such transaction shall be considered authorized by you on date/time stamp of submitted form. *
FULL NAME (Parent or Guardian) *
FULL NAME (CHILD) *
DATE *
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A copy of your responses will be emailed to the address you provided.
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