Silver Bit & Spur Farm

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Send completed form along with 
$200 deposit for each session to:
Silver Bit & Spur Farm
631 Route 523 South
Whitehouse Station, NJ 08889

Registration Form

Child's Name: ___________________________________________ DOB: _______/_______/_______

Address: ___________________________ City ________________ State_________ Zip ___________

Parent's Name ________________________________  Phone Number  (         )  ________-___________

Riding Experience ______________________________Emerg Contact Name _____________________ 

Emer Phone (          ) ______-__________                                     Registering for: (please circle)

June 23 to 27th        June 30 to July 3    July7 to July 11      July 14 to July 18
July 21 to July 25    July 28 to Aug 1      Aug 4 to Aug 8       Aug11 to Aug 15
Aug 18 to Aug 22

Rules & Regulations
1-Camp hours are between 9 am and 3 pm.  All children are to be picked up promptly.  Children picked up after 3:15 will be charged an extra $2.50 for each 15 minute delay
2-  Lunch is not provided.  Each child should bring a bagged lunch to camp daily.
3- Clothing requirements:  Each child is to wear or supply the following (each day)  

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Riding or bicycle helmet  

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No child will be allowed to ride without a helmet and a low heeled shoe (such as hiking or work boots) - Sneakers, sandals, clogs and the like are not allowed for riding.  

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Clothing appropriate for the weather.  (long pants are required for the riding portion)

4-  Silver Bit & Spur Farm reserves the right to expel any child who does not follow the instructions and or rules as supplied by the instructor.  They also reserve the right to expel any child who knowingly and/or purposely endangers anyone on the premises.  Should your child be expelled from camp, you will be notified immediately and you agree to pick up your child immediately.  Camp tuition is not refundable.


Approval & Emergency Medical Release
 
I, the undersigned, have read the Rules and Regulations above and give approval for my child ________________________ (child's name) to participate in the horseback riding camp and hereby waive, release and agree to hold harmless Silver Bit & Spur Farm, owners of the farm property, and all instructors or persons involved in this program, from any claim arising from injury to my child.  In my absence, I also give permission to perform any emergency medical treatment for (child's name) ___________________ as deemed necessary by a physician as a result of injury from participation in any camp activity.

$50 of the registration fee is Non-refundable

Signature parent/guardian X__________________________________________ Date:____/____/____  
Please list any known allergies or medical conditions related to your child: _________________________________ ___________________________________________________________________________________________
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