Windy Willow Equestrian

Camp Registration Form

Spring Break Camp April 1-5

Camp Deposits: A $100 deposit is required to secure your child’s registration and spot in your selected session. Once you have completed this form, a payment link will open in a new tab.

Welcome to Windy Willow Equestrian Summer Riding Camps! We are thrilled to be able to host your child(ren) here at our facility. We have planned your child’s week to be filled with fun, camaraderie, riding, building horsemanship skills and confidence around our wonderful horses. Please fill out this form.

Media: We take a lot of photographs during your child’s week at camp. We don’t want parents to miss those precious moments! Please check one of the following:

Yes- It's okay for Windy Willow Equestrian to photograph my child

No - Please do not share photographs of my child with anyone but me

Camper Information:

Full Name

Date of birth

Height and Weight

Are there any allergies or restrictions? If yes, please list

Doctor Name:

Doctor Phone number:

Insurance name

Insurance phone #

Insurance Member # and Group #

I give permission for Windy Willow Equestrian to seek medical treatment for my child if necessary

YES

NO

Parent Information

First Name

Last Name

Email *

Phone *

Address

City

State

Postal code

Name of Parent #2

Parent #2 information

Phone

Emergency Contact:

Name
Relationship
Phone number

Riding Experience continued

Years of Riding Lessons
Lessons per month
Years of Riding Camp
Goals for Camp

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.