Sex
T-Shirt Size
Camper's Name
Age
Zip
State
Address
City
Phone(W)
Phone(H)
Parent or Guardian
Phone
Relation
Emergency Contact
Email Address
Policy Number
Medical Insurance Carrier
Child's Physician
Phone
Existing Medical Conditions
Previous Riding Experience:
No prior experience
Horse Camp
(when, how long)
Riding Lessons
(when, how long)
Most Recent Riding Accomplishment
(walk,trot,jump,etc.)
What horse did you ride last year at summer camp?
Camp weeks:
June 30 - July 4
July 7 - 11
July 14 - 18
July 28 - Aug 1
Aug 4 - 8
Aug 11 - 15
July 21 - 25
Aug 18 - 22
Liability Release:
I agree that in consideration of Calero Ranch Stables allowing my child's participation in this activity, under the term set forth herein, I, for myself and on behalf of my child and/or legal ward, heirs, administrators, personal representatives or assigns, do agree to hold harmless, release, and discharge Calero Ranch Stables, its owners, agents, employees, officers, directors, representatives, assigns, members, owners of premises and trails, affiliated organizations, and insurers, and other acting on behalf(herein referred to as "Associates") of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to Calero Ranch Stable's and/or its Associates as stated above in this clause, for any economic and non-economic losses due to bodily injury, death, property damage, sustained by me/or my minor child or legal ward in relation to the premises and operation of Calero Ranch Stables, to include riding, handling, or otherwise being near horses owned by or in the care, custody, and control of Calero Ranch Stables, whether on or off the premises of Calero Ranch Stables. I/WE THE UNDERSIGNED, HAVE READ AND DO UNDERSTAND THE FOREGOING AGREEMENT, WARNINGS, RELEASE, AND ASSUMPTION OF RISK. I/WE FURTHER ATTEST THAT ALL FACTS RELATING TO THE APPLICANT'S PHYSICAL CONDITION, EXPERIENCE AND AGE ARE TRUE AND ACCURATE.
Summer Camp - Enrollment Form
Summer Camp - Enrollment Form
