Camp Registration

Registration

Please complete and submit the following information.

* Indicates required field

Camper's Name *

First

Last

Camper's Age *

Camper's Height *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Camper Insurance Information *

Mother's Name *

First

Last

Phone Number *

Father's Name *

First

Last

Phone Number *

Email *

Emergency Contact *

First

Last

Phone Number *

Riding Experience *

Can your child swim? *

Yes No

Are you comfortable with your child going down to the creek? *

Yes No

Allergies: *

Medical Conditions: *

Submit

Payment

Week One - June 19-23

Week Two - July 17-21

Week Three - July 24-28

Release Form

* Indicates required field

The undersigned acknowledges that they are the parents or legal guardians of the applicant and that in consideration of their child being permitted to participate in the Shalimar Stables Day Camp and other riding activities, being aware of the risk of injury to the child and agree they will be responsible for and hereby release Shalimar Stables Inc from any and all liability, including negligence, by any reason of injury to their child, themselves or their property during the day camp and riding activities, including but not limited to day trips, riding lessons, trail rides, exercise, jumping, caring for horses before and after riding showing etc. *

Agree

Name *

First

Last

Date *

Submit

See you this summer!

Campers should come with a lunch and snack everyday and several drinks! Pack bathing suits, a towel and shoes that they can wear in the creek! Please also send sunscreen for you camper!