Day Camp Registration

Camper Information

Name: Age: __ 6 7 8 9 10 11 12 13 14 15

Gender: Male Female

T-Shirt Size: Youth Small (7-8) Youth Medium (10-12) Youth Large (14) Youth XL (16) Adult S Adult M Adult L

Background Information

Riding Experience: 

    Beginner (little to none)

    Novice (walk, posting trot)

    Intermediate (walk, trot, canter, small jumps)

    Advanced (walk, trot, canter, course of jumps)

Where did you hear about Raynham Stables Day Camp?

Is this your first time attending Raynham Stables Day Camp?

Yes   No

Medical Information

Name of Doctor:

Phone #:

Does the camper have any allergies?

Yes   No     If yes, please list:

Will he/she carry an epi-pen?  Yes    No

Will the camper be taking any medications during camp hours?

Yes   No  (If yes, please send instructions with medications)

Please list any other physical, mental or emotional concerns we should be aware of?

Contact Information

Parent/Guardian

Name:

Address:

E-mail:

Home Phone #:

Work Phone #:

Cell Phone #:

Emergency Contact (will be used if parents cannot be reached)

Name:

Relationship to Camper:

Home Phone #:

Cell Phone #:

Session Dates and Fees

All prices in the table include GST.

Each two-week session costs $571.43 plus GST ($600.00).  This includes all fees for activities, field trips and the overnight.  Each additional session booked receives a $50 discount. (Discount has been calculated in total).  If you register and pay in full before April 30th, you also receive an additional $20 off!  This discount is not calculated in the table so please subtract $20 from your total.

We have a limited supply of helmets available for rental.  Please include $20 per session when totaling. 

Payment can be made by cash or cheque.  Submitting this form does NOT guarantee a spot in the session. Your space will be held once your $50 non-refundable deposit has been received. The balance is due one week prior to the start of camp (please send a post-dated cheque in with your deposit). Cheques can be mailed to:

Raynham Stables

Attn: Day Camp

13955 8th Concession

Schomberg, ON L0G 1T0

We will e-mail or call you to confirm that we received your registration.  If you have any further questions, please enter them below or call (905)859-0057.