Camp Registration

Summer Camp Registration Form:

Camper’s Name: ________________________________________

Camper’s Age:__________________________________________              

Parent’s Name:__________________________________________

Address:_______________________________________________

Phone Number:__________________________________________

Email:_________________________________________________

Emergency Contact Name:_________________________________

Emergency Contact Number:_______________________________

Camper’s level of riding experience (if any):___________________

_______________________________________________________

Any health issues/allergies that we should know about:___________

_______________________________________________________

Please indicate which week your child will be attending:

___Week 1 June 18– June 22 Closing date– June 6

___Week 2 June 25– June 29 Closing date– June 13

___Week 3 July 9– July 13 Closing date– June 27

___Week 4 Aug 6– Aug 10 Closing date– July 25

In addition to this form, please include the $50 non-refundable deposit. Please make checks out to Kalea Maxwell.

The remaining camp fee will be due the first morning of camp. You will also be required to fill out a liability release form, so please make sure a legal guardian is present. If needed, a release form can be sent to you before hand to be filled out and sent back with the child. No campers will be allowed to ride without a release form.

Please mail this registration form, along with deposit before the closing dates to:

Kalea Maxwell

2637 East 161st street south

Bixby, OK 74008

To inquire about availability or if you have any questions please contact Kalea at 918-605-6344 or by email at kaleamaxwell@gmail.com