Golden Woods Riding School Ltd.
Summer Camp - Rider Registration Sheet 
    First Name: ________________________ Last Name: ________________________

    Date of Birth: _____/_____/_____         Rider Weight: __________

    Address: ________________________ Rider Height: __________

    City: _____________________             Postal Code: _____-______

    Home Phone #:: (_____) _____-________    Bus #.: (_____) _____-________

    Emergency Contact
    First Name: ________________________ Last Name: _________________________

    Relationship: ________________________

    Medical Information
    Doctor’s Name: ________________________________________________

    Office Phone #: (_____) _____-_________ OHIP#: __________________

    Allergies: _________________________________________________

    Medical Conditions: __________________________________________________

    __________________________________________________________________

    Medication: ________________________________________________________

    1) Have you been on a horse in the last year?        Yes [ ]         No [ ]
     

2) Please list any riding you may have done, for example trail riding, formal lessons in English or Western Riding,
pleasure riding, previous summer riding camps.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

3) Please specify (check) the week(s) you would like to attend:

 July 5th to July 9th [  ]       July 12th to July 16th [  ]         July 19th to July 23rd [  ]

Aug 9th to Aug 13th [  ]     Aug 16th to Aug. 20th [  ]        Aug 23rd to Aug. 27th [  ]
      A waiver must be filed and signed on the first day of camp before a student can be allowed to ride.

      Camp will start each morning at 9:00am and end 4:00pm each day.

Each rider should have for riding: Boots with small instep and heel. (No running shoes), Top with short sleeves. (no tanktops), Long pants (i.e. Jeans, leggings, track pants) After riding: A change of clothes. (Shorts, running shoes, clean top)

They will also need to bring a lunch and lots to drink to prevent dehydration.
A lunch will not be needed on Friday as we will be providing a barbecue lunch.

Parents and Guardians are welcome to join us Friday for the camp riding show, BBQ and award ceremonies!

The total price for one week of camp is $275.00 (GST is included in this price). A $100.00 deposit is required to reserve a place in the camp. Please make all cheques payable to "The Golden Woods Riding School". Reservations are subject to availability and are confirmed after receipt of this completed form, and deposit.

Return Registration form  to:The Golden Woods Riding School Ltd.  8295 Indian Trail, RR#5, Rockwood, Ontario, N0B 2K0.    Entries may also be faxed to (519) 856-0506 or emailed to gwrs@golden.net