Sign-up for horse camp – Eagle Ridge Equestrian

Eagle Ridge Equestrian Summer Camp 2023 Registration Form

A registration deposit of 50% is due with this form to reserve a spot. (Cash or checks accepted) If paying with cash or check the filled-out registration must be printed and mailed to Pamela McMahon OR Eagle Ridge Equestrian Center Mailing Address: 6911 83rd Ave SE Snohomish, WA 98290.

You may also pay in full online by using this form.

Your deposit is refundable with a 2-week notice or it can be refunded at a rate of 50% for less than 14 days.

Balance due 2 weeks prior to camp start date. Please note a $10.00 online transaction fee will be added to your total. Thank you.

Rider(s) Name*

First Last

Date Of Birth*

Age*

Parent/Guardian Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Cell Phone*

Emergency Contact*

First Last

Phone*

Email*

Camp Selection

AGE 5-6 - ½ Day Camps $425 (Please indicate session(s) requested: AGE 7-14 All Day Camp $550 (Please indicate session(s) requested:

Half Day Camp | Ages 5-6 | $425.00

Full Day Camp | Ages 7-14 | $550.00

New! Prepare For Fair for 4H Riders / Advanced Horsemanship | Ages 8-18 | $600

*This all day camp is designed for the 4h riders preparing to show at the Evergreen State Fair. We will focus on classes such as showmanship, trail, English Equitation, Western Equitation, Grooming to win, Crafts to submit for judging, Herdsmanship ect. For ages 8-18.

Online Registration Fee

Total

$0.00

Riding Level

Please choose one:*

Never ridden
Ridden a couple of times
Some lessons
Competent walk/trot/canter

Style of Previous Riding Instruction:

English
Western

Anything else we should know about your child’s riding experience?

Is there anything else you feel we should know about your child in the day camp? (medical, behavioral or other concerns)*

Does your child have any allergies, sensitivities, medications or special needs?*

(We recommend you discuss with your doctor the possibility of pre-medicating with non-drowsy formula antihistamines if your child has any known adverse reaction to animal hair, dust or hay.)

May we use your child’s photo in promotions, such as a website?*

Yes
No

Please list names of all people authorized to pick up your child.

First Last

Name

First Last

Name

First Last

Hold Harmless and Emergency Medical Treatment Release: I understand that the caring for and riding of horses is an inherently dangerous activity. I understand that riding and working around horses may include mishaps such as falling off which may result in injury or death. I agree to indemnify and hold harmless Eagle Ridge Equestrian and Pamela M cMahon, its assignees and employees from and against all claims and liabilities including incidental cost and expenses, for injury or death of any person or persons, or for loss or damage to any property, including but not limited to both vehicles and horses, arising from or in any way connected with the performance of services or the teaching provided by Eagle Ridge Equestrian., its assignees or employees. I have read and consent to the above Hold Harmless and Emergency Medical Treatment Release:*

(Signature of Parent or Legal Guardian if under the age of 18 years of age.) CAMP LOCATION 24717 43RD AVE NE ARLINGTON 98223

PLEASE MAKE CHECKS PAYABLE TO: Pamela McMahon OR Eagle Ridge Equestrian Center Mailing Address: 6911 83rd Ave SE Snohomish, WA 98290

Name

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