Dear Parent, Thank you for your interest in Latta Plantation Equestrian Center Day Camp. Our camp sessions run Monday through Friday each day of the week, beginning June 15th, 2009 and ending the week of August 17th 2009. There will be no camp the 1st week of July. We will be offering both beginner riders’ camp and intermediate riders’ camp. The rider must be 7 or older by their camp week. The intermediate camp will be available to campers that have attended the beginner camp or have had 8 hours of riding lessons. At this level, our campers will proceed to lope, including trotting on diagonals, balance of horse and rider, school figures, correct leads and maneuvering around patterns. Lessons are on flat work only working with communication skills, balance and body alignment. Our riding lessons during camp will be coordinated by one of our riding instructors. We will also have classroom sessions to include training of key topics that every rider should know. These classes are designed to build our rider’s self confidence while teaching horsemanship safety. The lessons concentrate on safety first, proper grooming, communication skills, body alignment, balance and an independent seat which are the building blocks in becoming a good rider. Of course we will also have lots of time for games and group activities providing fun and entertainment all week long. The camp week is structured to provide our campers with good ‘horse sense’ while having lots of fun. Reservations must be made at least two weeks in advance. A $50.00 non-refundable deposit must be paid at time of registration. Camp cost is $300.00 per week. A release form must be turned in with your deposit. Camp will begin each weekday at 9:00 am and finish at 4:00 pm. If arrangements are not made for earlier drop off or later pickup, we will be charging $15.00 per ½ hour before 9:00 or after 4:00. For an 8:00 to 5:30 day, “pre-arranged”, we will charge a flat fee of $100.00 for the week. Hours extending beyond 8:00 to 5:30 will incur additional charges. Parents are required to provide their child with lunch; we will provide morning and afternoon snacks and drinks. Camp Dates: Beginner June 15-19 July 6-10 July 20-24 Aug. 3-7 Aug 17-21 Intermediate June 22-26 July 13-17 July 27-31 Aug. 10-14 6201 Sample Road, Huntersville, NC 28078 Phone: 704-992-1550 2009 SUMMER CAMP REGISTRATION Student’s Name:____________________________________ Nickname:_____________________ Student’s Date of Birth:_________________________ Students Gender: Male / Female Parent/Guardian Name:_____________________________________________________________ Address:____________________________________________________________________________ City:_____________________________ State:_____________ Zip Code:_____________________ Phone: Home ________________ Cell___________________ Work__________________________ How did you hear about us?_________________________________________________________ Doctor’s Name & Hospital Preference (if any): _______________________________________ Health Insurance Carrier & Policy Number:__________________________________________ Please list any allergies or medical conditions for child:_______________________________ ____________________________________________________________________________________ Please describe students” riding experience:_________________________________________ Have you attended camp here before?__________ If so, when? ________________________ Horse show experience (if any): _____________________________________________________ Riding / Achievement Goals:_________________________________________________________ Dates you would like to attend: ___________ ___________ Beginner or Intermediate Parents, please return child information sheet with deposit and release forms. Checklist for Campers Campers are required to wear long pants and close-toed shoes or boots upon arriving to camp each morning. Riding in short pants is not allowed. We do recommend a change of clothes for the afternoon. Shorts and tennis shoes will be permitted for classroom time and other activities, but flip flops/sandals of any type are not allowed at any time. The following is a short checklist for each day: - Change of clothes - Bag Lunch - Water Bottle - Towel - Helmet (if available—if not, one will be provided) We ask that parents please check in with the office staff on Thursdays to receive important information for Fridays’ activities. If you have questions or concerns, please contact Valerie Pierson or Helena Brown at 704-992-1550 6201 Sample Road, Huntersville, NC 28078 Phone: 704-992-1550 LATTA PLANTATION EQUESTRIAN CENTER COUNTRY TIME CARRIAGES, LLC 6201 SAMPLE ROAD, HUNTERSVILLE, NC 28078 LIABILITY WAIVER AND RELEASE In consideration of the covenants herein contained and agreement with Latta Plantation Equestrian Center, Country Time Carriages, its officers, agents, and employees, that ____ I, ____ Parent or Guardian ______________________________________________________ (Check appropriate category) (Please print your name) being at least age of eighteen (18) do hereby release and discharge Latta Equestrian Center, Country Time Carriages, LLC, its officers,, agents and employees from all claims, demands, actions, judgments and executions which the undersigned ever had, or now has, or may have, or which the undersigned’s heirs, executors, administrators, or assigns may have, or claim to have, against Latta Equestrian Center, Country Time Carriages, LLC, all owners, it’s successor’s or assigns, for all personal injuries, known or unknown and injuries to property, real or personal, caused by or arising out of the described activities, being horseback riding, horse-drawn wagon rides, pony rides, tractor-drawn hay rides, etc. Name(s) of Rider(s): ___ Self, or : ___________________________________________________________________ WARNING: Under North Carolina law, an equine activity sponsor or equine professional is not liable for an injury or the death of a participant in equine activities resulting exclusively from the inherent risks of equine activities. Chapter 99E of the North Carolina General Statutes. Riding Helmets are available to all riders. Helmets are mandatory for those under 18 years of age and optional for those 18 years of age or older. It is understood that should you choose not to where a riding helmet, any resulting accident or injury is the sole responsibility of the rider with no recourse to Latta Plantation Equestrian Center, Country Time Carriages, its officers, agents or employees. I/We, the undersigned, have read this release and understand all of its terms. I execute it voluntarily and with full knowledge of its significances. This ______ day of ________________, 2009 Signature: _____________________________________________________ _______ Parent ________ Guardian _______ Self Address: ______________________________________________________________________________________ CITY Phone: _____________________ STATE ZIP CODE _____________________ E-mail: _______________________________________________________________________________________ Office Use: ___ TR ___ AR ___ Pony ___ Hay Ride ___ Other: SUMMER CAMP