Camp Registration

Camp Registration -2021

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:
Payment can be made using any of the following methods:
1) Venmo. Please indicate which camp week(s) with payment.
2) Your PayPal account. Send payment to cshalimarstab@aol.com using 'Friends and Family' to avoid fees. Include the camp week(s) in the note field.
3) If you do not have a PayPal account, use the "Add to Cart" button(s) below. There will be a $10.00 fee added for payments using this method.

Week One
June 14 - 18

Week Two
July 12 - 16

Week Three
July 19 - 23

Week Four
August 2 - 6

Release Form

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

* Indicates required field

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!