Online Camper Registration 2020

Camper Information

Campers FULL name

Birth Date

Address

Street Address Address Line 2 City Province Postal Code

Riding Experience

Yes
No

Have you ridden before?

How many years?

Where? (Farm name)

Riding Ability

Walk
Trot
Canter
Jump

Briefly describe your interests and abilities

Are you able to swim in the deep end of a pool?

Yes
No

Do you have any fears pertinent to camp – animals, water, etc?

Medical Information

Family Doctor

Phone

Health Card Number

Do you have any medical needs that we should be aware of (please provide details)?

Do you require any medication that we should be aware of (please provide details)?

Session Selection

Please select the camp you would like to register for:

2019 March Break Camp
2019 Summer Camp
2019 Winter Camp (now closed)

You have selected March Break Camp

March 11-15, 2019

Each session cost is $425.00 plus HST Session runs from 9:00am to 4:00pm

Please select your first choice:

#1 Jul 1 – Jul 5
#2 Jul 8 – Jul 12
#3 July 15 - 19
#4 Jul 22 – July 26
#5 Jul 29 - Aug 2, 2019
#6 Aug 5 – Aug 9
#7 Aug 12 – Aug 16
#8 Aug 19 – Aug 23

Each session cost is $425.00 plus HST Session runs from 9:00am to 4:00pm ***Save $25 when you sign up for two sessions****

Please select your second choice:

#1 Jul 2 – Jul 6
#2 Jul 9 – Jul 13
#4 Jul 23 – Jul 28
#5 Jul 30 – Aug 3
#6 Aug 6 – Aug 10
#7 Aug 13 – Aug 17
#8 Aug 20 – Aug 24

***Save $25 when you sign up for two sessions****

Extras

Please select any additional services you would like to add on:

Do you need extended hours? ($10/hr +HST)
Do you need to rent a helmet? ($15 + HST)
Would you like to add Pizza Friday? Inc 2 slices, drink & fruit for $10

PARENT/GUARDIAN INFO

Name

First Last

Email

Home Phone

Work Phone

Mobile

Emergency contact:

First Last

Relationship to camper

Phone

PLEASE COMPLETE THE APPLICATION AND SUBMIT. THE CAMP OFFICE WILL CONTACT YOU TO CONFIRM YOUR APPLICATION AND ARRANGE PAYMENT. FULL PAYMENT OF SESSION MUST BE AT TIME OF REGISTRATION PAYABLE BY CASH, CHEQUE OR CREDIT CARD WILL BE REQUIRED. PAUSE AWHILE, 13243 MCCOWAN ROAD, STOUFFVILLE, ON L4A 7X5
Balance of camp fee must be received by Pause Awhile no later than 3 weeks before the start of the session. No refunds if cancelled less than three weeks from the start of your session – otherwise, a $50.00 cancellation fee will apply. www.pauseawhilehorseriding.com e-mail: pauseawhilehorseriding@gmail.com Tel: 905-640-7232

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First Choice
Second Choice
Third Choice

Online Camper Registration 2020

Quick Information

Camper Registeration 2019

Camper Information

Medical Information

Session Selection

Extras

PARENT/GUARDIAN INFO