Last Name  *

Email  *

Address

City

Province

Phone Number  *

Date of birth

Gender  Male   Female 

Riding Level  Beginner   Intermediate   Advanced 

Which Camp will you be Attending?  *  Girls Camp July 26th - 31st   August 2nd - 6th   August 9th - 13th 

Camp Type  Day Clinic   5 day camp 

When will you be arriving?  Sunday   Monday   Other (if other please specify day below) 

*specify day

Any food or other allergies?  No   Yes ( if yes please list below ) 

*please list

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