Horse Camp 2024 Registration Horse Camp 2024 Reservation Form Camp Dates (choose)(Required) Camp #1 - June 17-21 Camp #2 - July 15-19 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 18 campers: groups of 6 with a dedicated small group counselor for each group. Camps will fill on a first come/first serve basis, secured by registration form, liability waiver and deposit. $500 per week per camper, 9AM to 3PM, Monday through Friday, includes required $200.00 non-refundable advance deposit. $300 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, crafts, and games. 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: Payment Information: Reserve your spot by completing registration form on-line AND securing payment, ($200 non refundable.) Mail a check: Whistlejacket Farm PO Box 3776 Burleson Texas 76097 Or Venmo: @WhistlejacketVenue Questions? Email Melissa at Melissa@gowhistlejacketfarm.com or call 817-985-8885 Δ