2017 Summer Camp Registration Form
Student's Name: ______________________________________________________________________________________________________________________________________________
Street Address : ______________________________________________________________________________________________________________________________________________
Phone Number: (Home)_____________________________ (Work)______________________________(Cell)___________________________________________________________________
Emergency Contact: (Name)__________________________(Phone Number)______________________________(Relationship to Camper)_____________________________________________
Does the child have any Allergies/Food Allergies?_____________________________________________________________________________________________________________________
Childs Age At The Time Of Camp?________________________________________________________________________________________________________________________________
Childs Riding Ability ( Please Circle One) Beginner Intermediate Advanced
Beginner - Someone who has never ridden before, or has only ridden a few times.
Intermediate - Can ride without being lead, can walk and trot alone or in a group
Advanced - Can ride alone or in a group at the walk, trot or canter.
Sessions Available (Please Circle The Desired One): All sessions run Monday thru Friday, 9 AM to 1 PM. Cost is $250 per session. A $50 non-refundable deposit must be sent with this form to reserve your place. All checks should be made payable to Hillside Stable LLC. There will be a $35 fee for any check returned due to insufficient funds. The remaining $200 is due by the start of camp.
June 26th - 30th
July 10th - 14th
July 17th - 21st
July 24th - 28th
July 31st - 4th
Lunch: All campers must bring a bagged snack and plenty of water with them each day. We have a refrigerator which drinks or food may be kept in to keep it cold.
Proper Attire: All campers MUST wear long pants and boots with a heal. We will provide an astm/sei certified helmet for the child to wear, they MUST wear it at all times when mounted on a horse.
Optional Extras: Circle the desired items (Payment for these items must be sent with the deposit, these items are non-refundable)
Hillside Stable Summer Camp T-shirt - $20.00 Quantity__________________
Please Circle The Size You Want : Childs Small Childs Medium Childs Large Adult Small Adult Medium Adult Large Adult XL Adult XXL
2. Grooming Kit (Kids love to have their own to use during camp and take home after camp is done. Kit includes, brush tote, curry comb, dandy brush, hoof pick, Mane and Tail Brush, small bag horse treats. Cost is $25.00
Please return this form, riding waiver and $50 non-refundable deposit as soon as possible, spaces fill quickly and will be on a first come first serve basis.
Please Send To:
524 Bell Street