Camp Registration Form 2026

Camp Registration Form 2026
Once registration is complete, we will send you a hold harmless form to complete.
Participant / Parent Name
Agreement Date

MonthDayYear
Date
Student’s Name
Parent / Guardian Name (Print)
Parent / Guardian Signature
Stable Owner / Barn Manager Signature
Photograph / Video Release
Photograph / Video Release Authorization
Photo Release – Student Name
Photo Release – Parent / Guardian Name
Photo Release – Parent / Guardian Signature
Camper / Student Information
Camper / Student Name
Camper Age
Parent / Guardian Name(s)
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone (Home)
Please enter a valid phone number.Format: (000) 000-0000.
Phone (Work)
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
E-Mail
example@example.com
Emergency Contacts
Emergency Contact 1 Name
Emergency Contact 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2 Name
Emergency Contact 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Information
Insurance Company Name
Insurance Company Phone
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Policy Number
Insurance Group Number
Medical & Special Needs
Allergies / Medications
Disabilities
Riding Experience & T-Shirt Size
Level of Horse / Riding Experience
T-Shirt Size
Camp Session Selection
Camp Week 1 (May 25-29
Camp Week 2 (June 1-5)
Camp Week 3 (June 15-19)
My Products
prevnext( X )
50% deposit
Required to secure spot in camp

$187.50 Quantity

Pay in Full registration
$375.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Camp Registration Form 2026

Photograph / Video Release

Camper / Student Information

Emergency Contacts

Insurance Information

Medical & Special Needs

Riding Experience & T-Shirt Size

Camp Session Selection

My Products

Payment Methods