Dreamfields
Riding Centre www.dreamfields.ca
Camp Enrollment
(if viewing
this from the internet, use the back space key to return to the previous page)
Name of participant:
_______________________________ Age at start of camp:___________
Address:
__________________________________________________________________
Parent or Guardian’s Name: ____________________________________________________
Phone Day:______________
Phone Evening: _________________ e-Mail:_______________
Please describe
Student’s Previous Riding or Horse experience (if any) on back:
We want the drive service from Thunder Bay Mall (first
booked availability) pickup
_____________________________________________________________________________
Which
Please enclose $100 non-refundable deposit, for each
week. Please make cheques payable to Dreamfields Riding
Centre, balance of $250 due the first day of camp.
Early Bird Discount: Enroll
and pay the entire balance for summer camp before March 31, and receive a 5%
early booking discount! Early Bird price is $332.50.
For returning
students an additional 5% discount applies if paying your camp balance prior to
March 31st - your discount rate is $315!
HEALTH
Are there any special needs or
health issues, either physical or developmental which relate to participation
(e.g. seizures muscle tremors, back problems, learning disabilities, allergies,
etc.)?______________________________________________________________________
__________________________________________________________________________
From time to time, we may wish to offer, or the children may wish to
share, baked goods or snacks. May we offer your child additional snacks such as
- cake, muffins, cookies, apples etc.?__________________________________________________
Sometimes we offer small prizes of chocolate or candies, May we do this with
your child? (Yes/No)________ Is there anything you
would prefer we did not offer? ______________________________________
Health Card Number: __________________________________________
I authorise Dreamfields and its staff to seek any appropriate emergency
medical attention for my child (signature of parent or guardian)
_______________________________________________
Emergency contact for camp name & phone number: ______________________________________
_________________________ ________________________________________
Date Signature
Parent or Guardian
Send form to: Dreamfields Riding
Centre,