Camp_Registration_form - Equine Educational Consultants at

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LAKE FOREST STABLES
CAMP APPLICATION FORM
(Return)
Please complete the application form below FOR EACH CAMPER, and complete ALL FORMS in the Camp Application Packet and
return with your $75.00 deposit to:
Tonya Halterman
116 Broadmoor Drive
Daphne, Alabama 36526.
Attention: Camp Registration
Please make checks payable to EEC
Camp fee $175.00
Remainder due by: June 1
Please Circle Session: May 27-29 (Girls)
June 8-10 (Girls)
June 29-July 1 (Cowboy Camp)
July 20-22 (Boys and Girls)
Camper’s Name______________________________________________ Date of Birth ___________________________
Address __________________________________________________________________________________________
Experience Riding: None Some Experience Advanced Has had lessons

Has shown Has own horse
Is camper able, in your opinion, able to participate safely in strenuous physical activity, such as riding, running, assisting
in the care of the horse, barn chores and other activities?
Please circle:
Yes
No
If No, Please list any restrictions or special instructions: ____________________________________________________
_________________________________________________________________________________________________
Does the camper have any other physical, mental, or emotional condition that the facility and staff should be aware of?
Please circle:
Yes
No
If Yes, Please explain:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Parents’ Names ___________________________________________________________________________________
Address __________________________________________________________________________________________
Home Ph. _________________________________________Work Cell _______________________________________
E-mail Address ____________________________________________________________________________________
Persons allowed to pick up camper: _________________________________________________________________
Name:__________________________________________ Relationship: ______________________________________
Home Phone:____________________________________ Cell Phone: _______________________________________
_
Name: ___________________________________________Relationship: _____________________________________
Home Phone: ____________________________________Cell Phone: _______________________________________
HOURS: Camp hours are between 8:00 AM and 1:00 PM. All campers should plan to arrive on time and
need to be picked up at the close of camp each day in a timely manner. Please be courteous. Staff
members have other responsibilities caring for the farm and teaching riding lessons and we are not
responsible for watching your child outside of the schedule camp hours.
CANCELLATIONS: Cancellation rules apply to ALL camp sessions. If you cancel, we will attempt to fill your camper’s
space with another camper from our waiting list and your money will be refunded less a $75.00 deposit fee. If we are
unable to fill your space, your deposit and full amount will be forfeited. With a written and signed Doctor’s excuse, all
money paid less deposit may be applied to next year’s summer camp.
FOOD: Your camper is welcome to bring a lunch if they would like something else. We will provide bottled
water at lunch. Campers may bring additional beverages- water, juice, sports drinks, non-carbonated
drinks are recommended. NO GLASS CONTAINERS, PLEASE! A refrigerator is available and a drinking
fountain is on site.
CLOTHING: Campers will need to wear long pants, such as riding breeches, jeans, or stretch pants, t-shirt,
and appropriate protective footwear. Boots with heels are preferable. Tennis shoes are allowed for nonriding activities, but not for the riding portion of the camp. No sandals, thongs, slip-on or open toed
shoes are allowed in the barn. If a child is sent to camp in open toed shoes, they will not be able to
participate in many of the camp activities. If a child is sent to camp without the proper pants and footwear,
he/she will not be allowed to ride. This is for the safety and the comfort of your child. We recommend that
you label all personal belongings.
HELMETS: Riders are required to wear an ASTM-SEI approved helmet while riding. If your camper does
not have a helmet, one will be provided.
We recommend your child bring the following additional items:
Sun screen and bug spray, towel, change of clothes (shoes and socks, and shorts for non-riding
activities.) Carrots and apples for the horses, old bread for the chickens are always welcome, and provide
fun for the children feeding the animals!
LAKE FOREST STABLES CAMP CURRICULUM
Our camp program consists of daily group riding instruction for all students, as well as a structured
“classroom” type session as well as many fun activities. Our goal is not only to help the student improve
their riding skills, but to provide a foundation of understanding as to why we do things a certain way in the
practice of horsemanship. Students will also learn what is involved in owning and caring for a horse, and
will be expected to assist with activities such as grooming, bathing, feeding, barn chores, and related
activities.
Following is a sampling of our curriculum:
-tacking.
ities, such as playing with our farm animals,
pitching horseshoes, scavenger hunts
Medical Release Form
(Return)
If medical care is required for _____________________________in conjunction with any Lake Forest
Stables activity, or while boarder, rider, employee, or camper is at Lake Forest Stables and if normal
permission is not available in a timely manner, the undersigned authorizes appropriate medical care as
deemed necessary emergency medical personnel, a physician or the medical facility providing treatment.
CONTACT INFORMATION
Mother’s Name:_________________________
Father’s Name: ______________________________
Address: ______________________________
Address:____________________________________
Telephone # ___________________________
Telephone # ________________________________
Cell Phone # ___________________________
Cell Phone # ________________________________
Legal Guardian (if other than parent)
Medical Insurance Information
Guardian’s Name:_______________________
Insurance Co. _______________________________
Address:______________________________
Policy Number ______________________________
Telephone # ___________________________
Group Number______________________________
Cell Phone # ___________________________
Insured Name* _____________________________
Insured Social # _____________________________
Minor’s DOB ________________________________
(Note: Insured is the policy holder)
Special Instructions:
As parent or guardian of the above named minor child, please attempt to contact me at the time of any
incident or illness without postponing medical treatment.
Other Instructions:__________________________________________________________________
_______________________________________
Parent or Guardian
_______________________________
Date
_______________________________________
Parent or Guardian
_______________________________
Date
LAKE FOREST STABLES
FACILITY RULES
(Return)
1. Practice common sense and safety at all times:
2. No running, yelling, or roughhousing in the barn and around the horses.
3. Be respectful: follow the directions of the instructors and their staff.
4. NEVER walk away from a horse that is tacked up. Always attend to your mount.
5. Use cross-ties and lead ropes properly. NEVER attach a rope directly to the bridle.
6. Use halters over the bridle and apply properly including using a safety knot to tie a horse if it must be left unattended.
7. Use the available twine on posts to tie your horse in the barn. Do not tie directly to wood structures.
8. Do not leave your equipment in the barn isle, stall, or wash rack.
9. Never use equipment that is not yours without asking permission. (It may belong to a boarder).
10. Clean and put equipment away properly including tack, grooming supplies, buckets, etc. after use.
11. Please clean the wash rack after you have used it.
12. NEVER put a horse in a stall tacked-up without properly securing the horse with an instructor’s help.
13. NEVER tie a horse to anything that is not stationary, such as stall doors, gates, paddock fencing, etc.
14. ALWAYS clean up after yourself and your horse. This includes dirt, droppings, hair, etc. Clean-up equipment is
available. Please ask the manager or a staff member.
15. Please clean your own tack and put it away after you have ridden.
16. ABSOLUTE NO CHASING HORSES.
17. ABSOLUTELY NO HITTING OTHER ANIMALS.
18. Be courteous and polite at all times. Foul, abusive, and/or demeaning language is not tolerated.
19. Be kind to others. Teasing, demeaning, or other mistreatment of other riders, guests or staff is not permitted or to be
tolerated.
20. NO SMOKING - Smoking is not allowed on the premises.
21. RIDE AT YOUR OWN RISK.
22. Proper riding clothes and attire must be worn when riding: Long pants and socks, boots with heels, no excessive
jewelry, and helmet is required.
23. All riders are required to wear an ASTME-SEI approved riding helmet at all times when mounted. Bike helmets are not
allowed.
24. Open toed shoes, sandals, or flip-flops are not allowed in the barn. You will be asked to leave the barn if you are
wearing this kind of footwear. This is FOR YOUR SAFETY!
25. No riding without permission and supervision.
26. No jumping without supervision on the property.
27. Facility horses are never to be ridden without the manager’s permission.
28. No unsupervised children are allowed at the facility.
29. Guests are allowed with the permission of Management.
30. No dogs are allowed on the premises without Management’s permission.
31. No guests are allowed to ride a horse without completing a release form. No guest may ride a facility horse without
Management’s permission.
32. No glass bottles on the premises, please!
33. Use properly designated trash disposal containers for the disposal of trash.
34. PLEASE INSURE THAT ALL STALL DOORS AND GATES ARE PROPERLY CLOSED AND SECURED SO THAT
HORSES OR OTHER LIVESTOCK CANNOT GET OUT.
35. PLEASE REPORT ANY INJURY TO A HORSE, RIDER, ANIMAL, OR ANY OTHER UNSAFE CONDITION TO THE
MANAGER OR STAFF IN ATTENDANCE IMMEDIATELY.
I have read the above facility rules and agree to abide by them. I understand that these rules are in
place to keep riders, visitors, horses, and animals safe, and that breaking the rules could result in a
loss of privileges at the facility.
______________________________ ___ /___/___
________________________________ ___/___/___
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