Summer Camp - Mustang

SUMMER CAMP

MUSTANG

Prerequisite Bronco. Mustang 1 must be taken before Mustang 2

Please keep in mind camp hours are 8am-12pm M, T, Th & F.ne

SIGN UP NOW!

Please select your camp date(s), Mustang! *Be sure to select the correct level! Mustang 1 (M1) or Mustang 2 (M2)

Rider's First Name *

Rider's Last Name *

Rider's Age *

Address *

Parent/Guardian Name *

Phone *

Okay to text? *

YES

NO

Email *

2nd Parent/Guardian Name

2nd Parent Phone

Medical Concerns

Medical Insurance Company Name

Policy Number and Group Number

EMERGENCY MEDICAL INFORMATION AND PERMISSION *

Yes, I agree.

No, I do not give permission and will be responsible for any emergency medical care.

In my absence, I give permission to perform and seek any emergency medical care for my child as deemed necessary by a physician if needed.

Photo Release *

YES

NO

I give my permission for my child to be photographed/filmed at Greenbriar Riding Academy doing activities within our programs and that such images can be used on Facebook, Instagram, our website or advertising materials using only the student's first name as identification.

Camp Tee $15 (not required

PONY CAMP-RED, BRONCO-GREEN, MUSTANG-ORANGE, TROTTER-YELLOW, EQUESTRIAN-TURQUOISE, HORSEMASTER-PURPLE

Signature: *

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Today's Date: *