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Parent / Legal Guardian Name

Students Name

Multiple Choice

Male

Female

Referred By

Level of Riding Experience

If any, briefly describe your child's riding experience:

Age as of June 1

Height

Weight (lbs.)

Address

Primary Phone Number

Email

If you require a riding helmet, check here

Yes

No, I will bring my own ASTM/SEI Approved safety riding helmet

SUMMER 2023: Please select the camps(s) you are interested in and we will contact you with more information.

June 12 - 16

June 19 - 23

June 26 - 30

July 10 - 14

July 24 - 28

July 31 - August 4

Full day or half day camp?

Half Day

Full Day

Any special requests?

Please call 804-357-4231 to confirm your online submission has been received.