Camp Registration Form

Please complete this information form and send it using regular mail to:

All Heart Horse Farm, 21331 Crossfield Road, Manvel, TX 77578.
Each camp session is limited in size, and all registration is subject to availability.

 

Student Name: __________________________________

Age: _____ Height and weight: _______________

 

Camp session dates that you wish to attend: _____________________

For One-Day Horse Camps, will you be attending the Add-On Lesson after the camp? ________

(One-day camp costs $50, the add-on lesson is an additional $30.)

 

Have you previously attended a horseback riding camp? _______

Have you ridden before? _______

If yes, please describe your level of riding experience: ___________________

_____________________________________________________________

 

Do you have any medical situation of which we should be aware? ______

If yes, please describe: ___________________________________________

_____________________________________________________________

 

 

Name of Parent or Guardian: ________________________________________

Address:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Cell Phone Number: ____________________________________________

Home Phone Number: ____________________________________________

E-mail Address: _____________________________________________

 

Emergency Contact Name: _____________________________________

Address:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Phone Number: _______________________________________________

 

Students will be working together in small groups. If you have a friend (or friends) who you would like to be in your group, please list their name and age:

_____________________________________________________________

_____________________________________________________________

 

How did you find out about All Heart Horse Farm Camp?

_____________________________________________________________

_____________________________________________________________

 

Thank you very much for your interest, and we look forward to seeing you at All Heart Horse Farm!


Copyright © 2005-7 All Heart Horse Farm. All rights reserved.