Camper's Name *

First Name

Last Name

Date of Birth *

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DD

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Riding Experience *

Pre-Riding (never been on a horse, afraid of horses and/or may need support to sit balanced in saddle)

Beginner (ridden a horse less than 5 times, little to no experience)Beginner (ridden a horse less than 5 times, little to no experience)

Intermediate (taken more than 5 horseback riding lessons and performs basic riding skills)

Advanced (takes/has taken horseback riding lessons consistently, can walk/trot and perform basic riding skills, confident and comfortable when riding/working with horses)

Photo Consent & Release *

YES! I’ll smile for the camera. Feel free to put my picture anywhere on your website, social media, printed materials, or other advertising.

No thanks. I’m camera shy! Please do not take or post pictures of me anywhere.

I understand *

Please note, all horses are assigned by the Camp Director at their discretion. We take into consideration the age/weight/height/experience of campers to ensure a safe and enjoyable time at camp.

I understand the statement above

Parent Name *

First Name

Last Name

Today's Date *

MM

DD

YYYY