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Camp forms for 2024

**BOTH CAMPS tentatively full** Please fill out a registration form to be added to the waitlist



Camp runs 9:00 - 4:00 each day.

After submitting this form, a deposit of $100 (non refundable as of June 15th) should be sent to hold your spot. Cheques can be sent to Cedarstone Farm, RR#3 Durham, ON N0G1R0 or can be e-transferred to cedarstone@rogers.com

 Remainder of camp fees are do either by cheque, cash or e-transfer on June 15th.


Camp fees - ** EARLY BIRD SPECIAL** $360 if registered and deposit given before March 15th, 2024

                    $400 if registered after March 15th, 2024

                    $15/week helmet rental fee if needed

                    $10/DAY before OR after care fee ( see below)


 

What to bring to camp:

Approved riding helmet

Footwear with a small heel

Long pants for riding

Gloves for riding (optional)

Shorts and shoes for parts of day not riding (optional)

Lunch

Snacks and extra drinks ( we also provide snacks and drinks)

Bathing suit and towel everyday

Bug spray and sun screen

LIABILITY SECTION

 

The “student” understands that upon mounting the horse and taking up the reins, the “student” is in primary control of the horse and that Michelle Schmitt is not responsible for the result of the “students” actions, or lack thereof.

The “student” further agrees not to abuse, misuse, or deliberately agitate the horse as these actions may result in increased risk to him/her or others.

The “student” shall wear long pants and boots with heel.

The “student” is advised to wear a riding helmet that meets ASTM/SEI standards everytime he/she is mounted. Helmets are REQUIRED for all students under the age of 18.

The “student” understands that, except in Michelle Schmitt’s wanton and willfull negligence; the “student” is responsible for bodily injury, property damage, medical expenses, loss of wage, loss of school, or other activities which the “student” should sustain while participating as a student or spectator on the premises, trails, while in transit to or from horse shows or similar expeditions.

The “student”, his/her heirs, administrators and assigns do indemnify, release, discharge, and hold harmless the owners, operators, and sponsors of Michelle Schmitt and their respective servants, agents, officers, instructors, volunteers, and other participants from all claims, demands, actions, and causes of actions of such injuries(including death) sustained to “student” or that of students child, legal charge, and/or property.

The “student” agrees to indemnify, release, discharge, and hold harmless Michelle Schmitt, employees, instructors and agents from and against any loss, liability, damage, or cost arising out of or in any way connected to any event, any use of horse, and any equipment or gear provided therewith or any acts or omissions of employees or agents.

Upon signing of this agreement, I acknowledge that I have read and agree to be bound to all of this agreements terms and the conditions, that I am of legal age, and not under the influence of any substance which might impair my judgement.

 

 




First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Health Card #
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Health Card #
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Health Card #
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Health Card #
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Health Card #
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Health Card #
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Health Card #
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Health Card #
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Health Card #
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Health Card #
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Which week are you signing up for?
Camp weeks*
What is your child's riding ability?
Ability*
Does your child have any medical issues or allergies?
Medical issues or allergies*
No
Yes

If yes, please explain
Will your child require a helmet rental? ($15/week)
Helmet rental*
No
Yes
Do you give your child permission to be driven to other locations to participate in camp activities?
Some of our activities require us to leave the property. Campers will be driven by licensed staff in safe vehicles to other locations for activities such as swimming. All campers will have a seat belt. If your child requires a car or booster seat, please leave it for the day.*
No
Yes
Will your child require additional care? $10/day for children being picked up more than 20 minutes late or dropped off 20 min early, up to an hour before or after.
Extra care*
Other people authorized to pick up your child if you can't

Name and phone number
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Health Card #
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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