2020 Summer Camp Registration
Equestrian Team Camp: August 14-16

Please note that participants must be planning to join or already a member of the Duzan Equestrian Team. Participants must be entering sixth grade or older. Younger riders planning to ride in the Intro Division (4th and 5th graders) may join if space allows.
Camper's Last Name *
Your answer
Camper's First Name *
Your answer
Camper's Birthday *
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Camper's Age at Time of Camp *
Your answer
Camper's Gender *
Summer Camp T-Shirt Size (included in the cost of camp) *
Payment Information *
Checks should be made payable to Duzan Riding Academy. You can mail payment to 14191 State Road, Ostrander, Ohio 43061.
Parent Names *
Your answer
Parent Email Address *
Your answer
Home Address *
Your answer
Parent Cell Phone *
Your answer
Parent Home Phone
Your answer
Parent Work Phone
Your answer
Emergency Contact 1 Name, Relationship, Phone Number *
Your answer
Emergency Contact 2 Name, Relationship, and Phone Number *
Your answer
Insurance Company and Policy Number *
Your answer
Physician Name and Phone Number *
Your answer
Dentist Name and Phone Number *
Your answer
Preferred Hospital Name and Phone Number *
Your answer
Allergies, Medical Conditions, Social/Behavioral Issues we should know about
Your answer
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