2019 Blue Moon Stables Horse and Pony Day-Camps
Please complete the following form for 2019 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!
**Have good old-fashioned outdoor fun on the farm, like tie-dying, scavenger hunts and more!

Ages 4 & 5 may ONLY attend half-day camps listed. Parents DO NOT stay with campers, so please have your child prepared to be without you for a few hours. All children must be able to use the restroom independently.

Age 6 may attend EITHER half day or full day.

Age 7+ may ONLY attend full day camps.
Email address *
Camper's Last Name: *
Your answer
Camper's First Name: *
Your answer
Date of Birth: (mm/dd/yy) *
Your answer
Gender *
Age / Grade completed *
Your answer
Allergies or Dietary Restrictions: *
Please provide a thorough list so we may best serve your child
Your answer
T-Shirt size (unisex) *
Each child will receive a camp t-shirt to tie dye at camp!
Mother: name, phone number, and email address *
Your answer
Father: name, phone number, and email address *
Your answer
Please briefly describe your child's experience with horses *
Simply state "no experience" if this is their initial experience
Your answer
Mailing Address: Street, City, State, Zip *
Your answer
Physical, emotional or mental limitations, issues or concerns *
This is confidential, please provide a thorough list so we may best serve your child
Your answer
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. *
Emergency Contact: name, phone number, and relationship to camper *
Your answer
Which Camp or Camps? *
The following camps are available for sign up. Little Britches (ages 4-5) are invited half-days (8 am- 11:30 am) during camp II, III and IV. Campers age 6 have the OPTION of going full or half days, please contact Stacy at (270)957-0234 if you are not sure. Ages 6+ go from 8 am to 3 pm
Early Arrival and Late Pickup requests *
Please specify requests below. $10/hour extra
Your answer
Lunch *
Blue Moon Cafe lunch: pb&j, chips, fruit, sweet treat and bottled drink (all prepackaged)
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.
Your answer
Additional questions and comments
Please list any questions or concerns so we may serve you best when we contact you.
Your answer
Preferred contact
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
Payment *
Please choose your preferred payment method:
Thank You!
Camp management staff will contact you with any additional information leading up to camp. Your child's spot is only guaranteed with full payment. We cannot wait for camp!!
A copy of your responses will be emailed to the address you provided.
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