Summer Camp Form

Camper's Name
What Summer Camp will your child be attending?
If your Child is going to attend more than one session please select other.
Does your child have any allergies
Does your child take any medications
Parent's Information
I certify that my child is healthy and free of problem that could be deleterious to his / her participation in the Horse Summer Camp. In case of injury, I wish to be contacted as soon as possible at the telephone number listed previous. I also give permission to treat my child in the event of an emergency if I or the emergency contact cannot be contacted. In the event of serious illness or injury, and so that my child may be sent to local hospital via ambulance, I understand that I am responsible for all charges either through health insurance or otherwise.