Summer Camp Registration

To register for summer camp, please follow these easy steps:

Register using the form below or fill out this document.
Sign our liability release.
Send your completed application & liability release to camp@morningsidestables.horse or drop it off with an instructor at the nearest location. Here is a list of our locations.

BASIC

Today's Date

YYYY

Camp Location

Before/After Care Required?

Before: 1hr earlier drop-off / After: 1hr later pick-up

CAMPER INFORMATION

Full Name

First Name

Last Name

Age

Date of Birth

Previous Riding Experience?

Please describe any previous horse or riding experience, or write N/A if none.

PARENT/GUARDIAN INFORMATION

Full Name

First Name

Last Name

Primary Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

HEALTH AND INSURANCE INFORMATION

Camper physical and/or mental health conditions, problems and/or disorders which may affect their safety and ability to ride a horse?

If yes, please describe in the "Other" section.

Allergies

Medication

Other Conditions

Date of Last Tetanus Shot

YYYY

Health Insurance Provider

Insurance Policy #

Primary Care Physician

Primary Care Physician Phone Number

EMERGENCY CONTACT

Full Name

First Name

Last Name

Relationship to Camper

Phone Number

Country

(###)

###

####

CONSENT

Consent Plan

In the event that emergency medical aid/treatment is required due to illness or injury during the process of receiving services, or while being on the property of the agency, I authorize the Morningside Stables staff to: 1. Secure and retain medical treatment and transportation if needed. 2. Release client records upon request to the authorized individual or agency involved in the medical emergency treatment. CONSENT PLAN This authorization includes x-ray, surgery, hospitalization, medication and any treatment procedure deemed “lifesaving” by the physician. This provision will only be invoked if the Parent, Guardian or Emergency Contact individual indicated is unable to be reached.

Consent Plan Signature

By typing my name below, I certify that I AGREE to the consent plan.

Non-Consent Plan

If dou do NOT agree with Morningside's consent plan, please choose an option below. If you DO agree, please check the first option.

Non-Consent Plan Signature

By typing my name below, I certify that I do NOT agree to the consent plan.

Non-Consent Plan Explanation

SIGNATURE

Electronic Signature

Each party agrees that this Agreement and any other documents to be delivered in connection herewith may be electronically signed, and that any electronic signatures appearing on this Agreement or such other documents are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility. By typing my name below, I certify that all of the above information in this Agreement is accurate.

Today's Date

YYYY