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.

Sign in to Google to save your progress. Learn more
Email *
Camper's Last Name: *
Camper's First Name: *
Date of Birth: (mm/dd/yy) *
Gender *
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 to tie dye at camp!  
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. *
Emergency Contact: name, phone number, and relationship to camper *
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
Required
Early Arrival and Late Pickup requests *
Please specify requests below. $10/hour extra
Lunch *
Blue Moon Cafe lunch:  pb&j, chips, fruit, sweet treat and bottled drink (all prepackaged)
Required
Is this child a sibling to another registered camper? *
a 10% discount applies to siblings of another registered camper
Required
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.
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
Clear selection
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.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms