Royal Horseshoe Farm Inc. 601 Morgan Ford Road Front Royal, va 22630

Royal Horseshoe Farm: Summer Camp 2017

Royal Horseshoe Farm Inc.

601 Morgan Ford Road

Front Royal, VA 22630

[phone]

Web Site: www.royalhorseshoe.com
E-mail: [e-mail]
Dear Campers / Parents / Guardians,
Welcome! We are glad that you have decided to join us for horse camp. We look forward to sharing the joys of riding and caring for horses with you.
Here are a few things you need to know and remember:

1. 
   Bring bathing suit and towel
   

1. 
   Wear closed toe shoes with a small heel, preferably boots.
   

1. 
   Wear long pants for riding
   

1. 
   Bring or wear cool cotton shirts, having an extra one is a good idea
   

1. 
   Bring bag lunch with an extra beverage
   

1. 
   Sunscreen
   

1. 
   Bug spray
   

1. 
   No video games or loud toys
   

1. 
   No guns or weapons of any type, including water guns
   

1. 
   $200 registration fee is non-refundable
   

1. 
   Storage space is limited
   

Royal Horseshoe Farm Inc. will provide:

• 
  Riding helmet-ASTM/SEI approved
  
• 
  Pool with supervised swim time
  
• 
  Horses and tack- please do not bring your own (unless coordinated in advance)
  

Each camper will have her/his own crate and will be responsible for his/her own personal property.

We will have coolers available for campers’ lunches and beverages.
Standard arrival time is between 8:45 and 9:00 a.m. at Royal Horseshoe Farm Inc. Children can be dropped off at the recreation building at 601 Morgan Ford Road. Children must be picked up by 3:15 pm. Any other arrangements MUST be approved by prior to that day.
Thank you! We look forward to meeting and getting to know each of you.
Sincerely,
The Staff at Royal Horseshoe Farm

WHAT: Royal Horseshoe Farm Summer Horse Camp

WHERE: Royal Horseshoe Farm, Front Royal, VA

WHEN: Schedule:

• 
  June 12th-16th
  
• 
  June 19th-23rd
  
• 
  June 26th-30th
  
• 
  July 10th-14th
  
• 
  July 17th-21st
  
• 
  July 24th-28th
  
• 
  July 31st- August 4th
  
• 
  August 7th-11th
  
• 
  August 14th-18th
  

TIME: Day Camp Monday thru Friday

Drop off campers between 8:45 and 9:00 a.m., and pick up by 3:15 pm
COST: $350.00 per 1 week session
AGES: Typically 6-16, but we can accommodate other ages
INCLUDES: Basic and intermediate riding instruction, grooming, tack & horse care;

601 Morgan Ford Road

Front Royal, VA 22630

[phone]
E-mail: [e-mail]
Put in your date preference(s) (reserved by order of deposit received):
1st date preference: ________________________

2nd date preference (optional): ________________________

3rd date preference (optional): ________________________
Name of Camper: __________________________________________________________

Address: _________________________________________________________________

City: __________________________________________ Zip: _______________________

Home Phone: ___________________________

Age: _______ Weight: ________ Gender: ____________

Adult’s Cell Phone or Front Royal Area Phone: ___________________________

Adult’s Email: _____________________________________________________________

For minors- Primary Contact (Mother / Father / Guardian (Circle One)):

Name: ___________________________________________________________________

Address: _________________________________________________________________

Home Phone: ________________________ Business Phone________________________

Cell Phone: ____________________________

Business Name: ___________________________________________________________

Business Address: _________________________________________________________

For minors- Secondary Contact (Mother / Father / Guardian (Circle One)):

Name: ____________________________________________________________

Address: _________________________________________________________________

Home Phone: __________________________ Business Phone______________________

Cell Phone: ____________________________

Business Name: ___________________________________________________________

Business Address: _________________________________________________________

For Every Camper:

In case of Emergency contact (please provide two names and telephone numbers): _________________________________________________________________________

_________________________________________________________________________
Physician’s Name: __________________________________________________________

Address: _________________________________________________________________

Phone: __________________________________________________________________
Allergies: _________________________________________________________________
Please list any special health conditions:

_________________________________________________________________________

_________________________________________________________________________

Additional Comments: _________________________________________________________________________

_________________________________________________________________________

I, ________________________________________hereby authorize Royal Horseshoe Farm Inc. to secure medical services for:

__________________________________________ (camper’s name), if necessary.

_______________________________________ __________________________

Signature (Parent / Guardian if camper is under 18) Date
Payment (full payment: $350, minimum deposit: $200):

Make checks payable to: Royal Horseshoe Farm

Credit Card (Visa, Master Card, Discover): 3 digit security code: _ _ _

Card #: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date (MM/YY): _ _ / _ _

Billing address (if different from above):

__________________________________________________________________

Amount Authorized: $ ________ Signature: ______________________________

Royal Horseshoe Farm Inc.

601 Morgan Ford Road

Front Royal, VA 22630

[phone]
E-mail: [e-mail]
I (/We (all further use of the word “I” includes the case of “we”)):

____________________________________________ (adult camper OR parent / legal guardian of the following minor camper: _______________________________________________)

certify that I am cognizant of Virginia Code 3.1-796.132 which reads as follows:
Under Virginia law, an equine activity sponsor or equine professional shall not be liable for an injury to, or the death of, a participant engaged in an equine activity resulting from the inherent risks of equine activities.
I recognize that horses are unpredictable animals, and that there are significant risks of injury inherent and associated with horses and horse related activities, including, but limited to trailering, loading, boarding, riding, grooming, saddling, feeding and caring for horses. Knowing of the inherent risks, dangers and rigors involved in such horse activities, I certify that I understand the risks associated therewith, that I am fully capable of participating in said activities, and that I do so at my own risk.
Royal Horseshoe Farm Inc. and staff require the wearing of protective headgear (hardhat) and recommend boots or closed-toe shoes with a heel.
I hereby release and hold harmless Royal Horseshoe Farm Inc. and any staff member or instructor/demonstrator affiliated with Royal Horseshoe Farm Inc. from any responsibility and I assume the risk for any occurrence related to the summer camp activities, including but not limited to swimming, hiking, nature studies, horseback riding, arts and crafts etc. which may result in death, injury, or any other damages. I assume all responsibility for the required physical fitness and ability to perform, under normal conditions, the rigors associated with horse camp activities.
I further state that I am of lawful age and competent to sign this affirmation and release and that by signing I understand the terms herein.
In witness whereof I have executed this affirmation and release at:

_______________________ (location) on this _________ day of _________________, 20___.

__________________________________________________________

Signature (Parent / Guardian if camper is under 18)

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