Participant Information
Name: ______________________________ Age: ____________ Birthday: _____________
Parent or Guardian Name(s): ____________________________________________________
Address: _____________________________________Email: _________________________
Phone 1: __________________________ Phone 2: __________________________________
Emergency Contact Info (If same as Parent/Guardian, only one is needed.)
Contact #1
Contact #2
Name: ______________________________
Name: ______________________________
Relationship: _________________________
Relationship: ________________________
Phone: ______________________________
Phone: _____________________________
Camp Registration
The cost of attending camp is $55 each if your child attends ten or more camps, or $60 each if
your child attends less than ten.
Camps meet every Wednesday all summer, from 10:00 am – 3:00 pm. (With the exception of
Wednesday, 7/13 – that camp will meet on Monday, 7/11 as our horses have important jobs at
the County Fair.) For more details about camp, check www.sandeschoolofhorsemanship.org
Please circle the days that your child will be attending camp:
6/15
6/22
6/29
7/6
7/27
8/3
8/10
8/17
M: 7/11
7/20
8/24
8/31
Please note that a deposit is required to reserve each camp date. This deposit is nonrefundable. In the event of a cancellation (with at least one week notice) the deposit may
be applied to attend a different camp date if availability allows.
If your child is attending 10 or more camps, the required deposit is $30 for each camp
($300 for ten). If you’re reserving less than 10 dates, the required deposit is $35 for
each. The remaining $25 is due on each day of camp.
Number of Camps Reserving: ______ Deposit Enclosed: ________
Does your child have any special needs (learning disabities, ADD, ADHD, physical
disabilities, etc)? This information would only be shared with your child’s instructors, and we
are happy to provide a confidentiality agreement. It is extremely important for us to have this
information in order to provide the best possible learning environment for your child.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Does your child have allergies? Y N
If yes, please list and describe procedure that should be taken should he/she become exposed:
___________________________________________________________________________
___________________________________________________________________________
If you’re new to our programs, how did you hear about us? ___________________________
Does your child have any prior experience with horses?
___________________________________________________________________________
___________________________________________________________________________
Will your child be coming early or staying late? Every camp date or just a few? Please
provide details:
_________________________________________________________________________
_________________________________________________________________________
We try to help with arrange carpooling when possible.
Are you interested in either helping to carpool with someone in your area? _______________
___________________________________________________________________________
Are you in need of carpool help? ________________________________________________
___________________________________________________________________________
Is there anything else we should know about your child? (Behavioral problems, anxiety,
suggestions on group match-ups, gender sensitivities, special supervision requirements, etc):
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________