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2014 Camp Registration Form

Contry Hill Farm
2014 Camp Registration Form

Student Information

First Name(*)
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Last Name(*)
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Street(*)
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City(*)
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State(*)
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Sex(*)
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Age as of (7/8/2014)(*)
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Date of Birth(*)
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Grade Entering(*)
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Email Address(*)
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Height(*)
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Weight(*)
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T-shirt size(*)
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Parent/Guardian Information

Parent/Guardian’s Name (First)(*)
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Parent/Guardian’s Name (Last)(*)
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Telephone number AM(*)
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Telephone number PM(*)
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Email Address(*)
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(used only to contact parents and to inform them of summer camp programs)

How did you select this camp?
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Pony/Horse Selection

Pony/Horse Selection is optional. You can get to know the Ponies when you get here!

Bringing your own Horse or Pony?(*)
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(vaccines should be up to date with current negative coggins)

Name
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Breed
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Height
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Special Requests
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I'd like to request the use of a Farm horse:
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(request not guaranteed)

Farm Horse Request (1st choice)
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Farm Horse Request (2nd choice)
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Student Skills Evaluation

New students and campers, please read carefully and check all that apply to you:(*)

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Do you take lessons?(*)
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If yes, what year did you start and how often do you take them?
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Please have your instructor write down what you are working on right now, and what you do in a typical lesson. If you are not riding with an instructor please describe what type of riding you are doing.
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What do you want to do at Camp?

What would you like to work on while at camp?
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Do you want to go on trail rides?(*)
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In general please rate how comfortable you are around horses:(*)
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Please describe the temperament of horse that you most enjoy: (i.e. very lazy, lots of energy,etc.)
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Do you have any special requests for the riding program at camp?
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Final decisions on your child’s riding level will be made by the summer camp director

 
Choose your program and pay online!

Early Bird: Paid in full by March 31st, receive $30 credit

Returning camper, receive $10 credit

New! Bring a friend or sibling - you and your friend take $75 off registrations!! (May ride different week, must not have ridden at CHF in the past)

Name of friend/sibling
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Free: Early drop off or later pick up, please note request:
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Choose your Session(*)
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Returning Camper? Discount!
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Bringing a friend? Discount!
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Total
0.00 USD

Payment method