2018 Blue Moon Stables Horse and Pony Day-Camps
Please complete the following form for 2018 Summer Camps at Blue Moon Stables. We are thrilled to have your child excited about learning more about horses and ponies at Blue Moon Stables!
Each day in Camp, your child will:
**Learn riding skills in small group riding lessons on our well-trained horses and ponies.
**Participate in real "farm life" activities, like bedding stalls, feeding horses and goats, watering, and more!
**Learn about the history of horses, anatomy, equipment, breeds, and more through activities and crafts.
**Make new friends with other kids who are horse-crazy too!
Camper's Last Name:
Camper's First Name:
Date of Birth: (mm/dd/yy)
Age / Grade completed
Allergies or Dietary Restrictions:
Please provide a thorough list so we may best serve your child
T-Shirt size (unisex)
Each child will receive a camp t-shirt and carryall bag on the first day of their first camp!
Youth extra small
Youth extra large
Mother: name, phone number, and email address
Father: name, phone number, and email address
Please briefly describe your child's experience with horses
Simply state "no experience" if this is their initial experience
Mailing Address: Street, City, State, Zip
Physical, emotional or mental limitations, issues or concerns
This is confidential, please provide a thorough list so we may best serve your child
Blue Moon Stables has permission to use, publish or disclose in newsletters, brochures, periodicals, posters, website or other media- related vehicles, any photographs, videos, audios or other material in which my child may have appeared, spoken, written or otherwise been represented.
I Do Agree
Emergency Contact: name, phone number, and relationship to camper
Which Camp or Camps?
The following camps are still available for sign up. Please contact Stacy at (270)957-0234 if the week you are looking for is not listed. Little Britches (ages 4-5) are invited half-days (8:30 am- 11:30 am) during camp IV. Ages 6+ go from 8 am to 3 pm
Camp III: June 19-21 ($255)
Camp IV: June 26-28 ($255)
Camp IV HALF DAYS: June 26-28 ($150)
Early Arrival and Late Pickup requests
Please specify requests below. $10/hour extra
Blue Moon Cafe lunch: pb&j, chips, fruit, sweet treat and bottled drink (all prepackaged)
My child will bring a sack lunch
My child will order a cold pb&j lunch from the Blue Moon Cafe for $5/day
Is this child a sibling to another registered camper?
a 10% discount applies to siblings of another registered camper
How did you hear about the Horse & Pony Camps at Blue Moon?
If you were referred by a current Blue Moon rider, please put their name here! Please help us with our future marketing plans.
Additional questions and comments
Please list any questions or concerns so we may serve you best when we contact you.
Camp management staff will contact you with any additional questions and arrange for payment. Your child's spot is only guaranteed with full payment. We cannot wait for camp!!
Who we should contact regarding payment, etc. This person will be emailed the Liability Release Form and other Camp Information within 2 weeks of the first camp attending
A copy of your responses will be emailed to the address you provided.
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