Touch of Class Farm
Summer Riding Day Camp, Registration and Emergency Authorization*
Please print out Camp
Registration Form* Please specify which camp
date you want to register for: ______________________________campers t shirt size_____________________
Name of Child:
City, State, Zip: :
cell Phone: cell
If not at home or work, provide alternate phone number where parents can be reached:(Both must be completed)
People to be contacted
in the event of an emergency if the parents cannot be reached:
Relationship to Child:
Name of Physician or Clinic:
City, State, Zip:
City, State, Zip:
Authorization of Treatment:
I hereby give my permission to the medical personnel selected by the camp director to order X-rays, routine tests,
treatment, and necessary transportation for me/my child. In the event I cannot be reached in an emergency,
I hereby give permission to the Physician selected by the camp director to secure and administer treatment, including hospitalization,
for me/my child as named above. The completed forms may be photocopied for trips out of camp.Signature of Parent or Guardian or Adult camper/staffer: Parents Signature:
Date:___________________________________________ If for religious reasons you cannot sign this, then the camp should be contacted for a legal waiver which
must be signed for attendance.
Session(s) $325 per session (please circle)
Riding Experience (please circle one)
Previous Camp Experience
in full is required at the time of registration. ALL payments are non-refundable. Payment and registration
must be recieved by : see above dates.
- There are no make up classes available if a student
would have to miss because of illness, vacation, or any other reason.
- Touch of Class Farm will
not automatically close due to weather. Camp will not be cancelled due to heat, cold, or rain. In the event of rain,
lessons will be held in the Indoor Arena. In the case of thunderstorms, classroom activity will take place.
- All students must be at least seven years old.
- All students must purchase and wear ASTM (American Safety & Testing Materials) approved
riding helmets while mounted .
- Students must wear long pants.
must wear hard soled boots with a low heel and light tread or smooth sole when in the barn, stalls and mounted.
No tennis shoes , sandals, flip-flops or hiking boots.
and Assumption of Risk
I/We understand that horseback riding is classified as ADVENTURE RECREATIONAL SPORT ACTIVITY
and that there are inherent elements of risk always present in any such activity despite all safety precautions. I fully accept
such risk, some examples of which are listed as follows:
- It is not possible for any person
or establishment to predict exactly how a horse will behave when it is frightened, angry or under stress. It may react according
to its natural instincts, which are to jump sideways, forward or backward.
- Upon mounting a
horse and taking up the reins, the rider is in primary control of the horse. If a rider falls from a horse to the ground,
it will be a fall from 3 1/2 to 5 feet and impact will be according to physical law, possibly resulting in injury, disability
or even death to the rider.
I/We understand and
agree to accept full responsibility for bodily injury which is sustained to me (or my child or the minor whom I have represented
myself as the guardian by signing this release) or in relationship to the premises and operations of Touch of Class Farm,
and/or while riding or handling horses or other animals owned by Touch of Class Farm; and that I/We hereby, for myself, do
hereby release and discharge the owners, operators, sponsors of the premises and their respective servants agents, officers
and all other participants of and from all claims, demands, actions, and causes of actions for same injuries.
to Policies , please sign below;