Natchez Bend Performance Horses - Riding Lessons, English Hunter/Jumper, Reining, Dressage, Events, Competition, Camp by Trish Franks

2010 SUMMER CAMP REGISTRATION

Please fill out the following form completely.

REGISTRATION DEADLINE IS APRIL 1, 2010

Camper's Name (first & last)
Street Address
City
Zip Code
Camper's Age
Camper's Birthdate (with year)
Camp Session of Choice ($150 deposit per session required at registration, balance due 2 weeks prior to beginning of camp week)	Camp I - June 14-18 SESSION FULL Camp II - July 26-30 (Half Day/9-12)
Emergency Contact 1 (name & phone number)
Emergency Contact 2 (name & phone number)
Riding Experience	Beginner (less than 2 yrs) Intermediate (2-5 years) Advanced (5+ years)
Email contact
Camper's Physician
Physician's Phone #
Medical Facility of Choice
Allergies (please list all known allergies, both food and non-food)
A $150 deposit is required to hold a reservation for each camp week. Camp limit is 15 students. Students will be grouped within sessions according to age and skill level. In addition to the camp registration, the rider liability and policies forms must be competed and notarized. They must be presented before camp begins on the first day. Students are required to have their own certified riding helmet and boots with heels. Please inquire if you have questions.
UNDER THE TENNESSEE LAW AN EQUINE PROFESSIONAL IS NOT LIABLE FOR INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTVITIES, PURSUANT TO TENNESSEE CODE ANNOTATED, TITLE 44, CHAPTER 794. I FULLY UNDERSTAND AND ACCEPT THESE TERMS, POLICIES, AND CODITIONS. - Type your name