Summer Day Camp 2023 Registration Summer Day Camp 2023 Reservation Form Camp Dates (choose)(Required) July 3-7 July 31-Aug 4 Camper's Name(Required) First Last Camper's Date of Birth(Required) MM slash DD slash YYYY Parent/Guardian Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best Contact Email(Required) Enter Email Confirm Email Best Contact Phone(Required)Alternate Contact Name(Required) First Last Alternate Contact Phone(Required)Any known allergies/medical conditions: (specify serious food allergies)Other Needs/Considerations:I have a friend attending and would like to be in their group(Required) Yes No Friend's Name(Required) First Last Each week is limited to 24 campers; groups of 6-8 with a team leader. Camps will fill on a first come/first serve basis, secured by registration form, liability waiver and deposit. $425 per week per camper, 9AM to 4PM, Monday through Friday, includes required $200.00 non-refundable advance deposit. $225 balance payable on or before the first day of camp. Campers will learn all aspects of horsemanship and riding. Mornings are spent with the horses and around the barn. After lunch and a break, campers will have fun with water activities, bounce houses and crafts. What to bring: water bottle, lunch, swimsuit or change of clothes, towel, sunscreen. Short riding boots with heels and riding helmet are helpful, but not required. Payment Information: Via Check: (payable to Whistlejacket Farm) and mail with reservation form to: Laura High 4733 Hidden Lane Fort Worth, TX 76107 *If sending a check in the mail, I strongly suggest that you email me to confirm availability and alert me to look for your check since these camps fill up and we will accept campers with paid deposits only. Thank you! Venmo: @WhistlejacketVenue (Include CAMPER’s NAME in notes!) Questions? Email Laura at info@TheVenueatWhistlejacket.com or call me at 817-980-6095 Δ