Equestrian Summer Camp Registration from Waiting List

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Parent/Guardian Phone*

Address*

Street Address City State Zip

Second Parent/Guardian Name

First Last

Second Parent/Guardian Email

Second Parent/Guardian Phone

Emergency Contact (in case parent/guardian cannot be reached)*

First Last

Emergency Contact Phone*

Residency*

See link below if you would like to confirm residency.

Ken-Caryl Resident

Non-resident

If you are unsure if you are a KCR Resident please look for your street name at the link below.

Street Listing for Ken-Caryl Ranch

Child's Name*

First Last

Child's Birthdate*

Child's age when camp begins*

Child's tshirt size*

Please note adult sizes are unisex.

Kid’s Small

Kid’s Medium

Kid’s Large

Kid’s XL

Adult XS

Adult Small

Adult Medium

Adult Large

Please list any known allergies or medications your child may need to take at camp. If none please write "none".*

Any pre-existing health conditions?

Participant's Level of Experience with Horses*

Lesson Program

Picnic with Ponies (ages 6-8)

Equestrian Summer Camp (ages 8+)

None

Experience at other equestrian facility

Which camp will your child be attending?*

6-8 Years Old – Picnic with the Ponies

8+ Years Old – Riding Camp

Picnic with the Ponies Sessions, Ages 6-8 (Please choose only the session available from the waiting list)

$300/session for Residents, $325/session for Non-residents

Session 1: May 30–June 2 & June 6-8

Session 2: June 13-15 & June 20-22

Session 3: June 27-29 & July 11-13 (Note 1-week break due to holiday)

Session 4: July 18-20 & July 25-27

Session 5: August 1-3 & August 8-10

Riding Camp, Age 8+ (Please choose only the session available from the waiting list)

$300/session for Residents, $325/session for Non-residents

$40 Nonrefundable Deposit PER CAMP. Cancellation Policy - must cancel by 5/16/22 for partial refund (minus $40 deposit). No refunds, changes or cancellations after 5/16/22.*

NEW THIS YEAR! When we reserve your space for the summer we often times turn other families away and are unable to fill that space later. Therefore, there are no daily cancellations or changes. A $40 deposit per program is non-refundable and non-transferable. 2022 Cancellation Deadline: On or before 5/16/22: Forfeit $40 deposit/week. Cancellation must be made for exact schedule chosen. We cannot accept any switches for other days or weeks. Cancellations must be in writing. After 5/16/22: No refunds or changes available. By signing below, I agree to the cancellation policy above.

KCR Equestrian Center Facility Rules

IF PARTICIPANT IS UNDER EIGHTEEN (18) YEARS OF AGE, A PARENT OR GUARDIAN MUST READ AND SIGN BELOW:*

I am the legal guardian of the above minor and have read the above AGREEMENT. I give my unqualified permission and consent to: the RELEASE, WAIVER, ACKNOWLEDGEMENT OF RISK, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT on behalf of the named minor; and his/her participation in all Ken-Caryl equine activities. My child is in good health and has the necessary ability to participate in equine activities. I ACKNOWLEDGE I HAVE RECEIVED AND READ THE EQUESTRIAN CENTER FACILITY RULES at the link above.

I give permission to KCRMA to use my child’s photograph in Ken-Caryl Ranch publications.*

Checkout

Resident - $300 per child per camp

Price: $300.00

Non-Resident - $325 per child per camp

Price: $325.00

Total

Credit Card

Card Details

Cardholder Name

Do you agree to storage of your data?*

By submitting this form, you hereby agree that we may collect, store and process your data that you provided.

Yes

Equestrian Summer Camp Registration from Waiting List

Equestrian Center Summer Camp Registration Backend (from Waiting List)

Street Listing for Ken-Caryl Ranch

KCR Equestrian Center Facility Rules

Checkout

Contact Info

Administration:

Ranch House:

Community Center:

Facility/Parks Emergency:

Park Rangers:

Waste Connections: