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Lessons Boarding Training Sales Judging Interscholastic Equestrian Teams 8871 Patterson Road | Hilliard, Ohio 43026 | Cell: 614-580-2758 E-mail: [email protected] Web: www.dareequestriancenter.com 2020 Summer Camp Enrollment Form Child’s Name:_________________________________________________________________ Parent’s Name:________________________________________________________________ Address:_____________________________________________________________________ City:_________________________________ Zip Code:_______________________________ Phone:_____________________Emergency Contact Name: ___________________________ Phone: ____________________ Email:____________________________________________ Age:_________ Horse Experience: First Timer_____ Beginner_____ Intermediate_____ (Never ridden/ridden (Has ridden independently (Has taken lessons and can less than 10x) 10x or taken lessons) canter independently.) Explain prior horse experience: ______________________________________________ ______________________________________________________________________ Please circle your child’s T-shirt size: YS YM YL AS AM AL Dates Requested: 1 st Choice:___________________________ 2 nd Choice:______________________________ *YOU WILL BE NOTIFIED IF YOU FAIL TO GET YOUR FIRST CHOICE. Cost: Half Day $325.00 (9:00am-12:00pm) Full Day $495.00 (9:00am-3:00pm) To reserve a space –please send the following: 1. ½ fee as a Non-Refundable deposit (Make checks payable to Dare Equestrian Center) 2. Completed Summer Camp Enrollment Form 3. Completed Release of Liability – Waiver (download at www.dareequestriancenter.com)

2020 Dare Equestrian Summer Camp Enrollment Form · ½ fee as a Non-Refundable deposit (Make checks payable to Dare Equestrian Center) 2. Completed Summer Camp Enrollment Form 3

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Page 1: 2020 Dare Equestrian Summer Camp Enrollment Form · ½ fee as a Non-Refundable deposit (Make checks payable to Dare Equestrian Center) 2. Completed Summer Camp Enrollment Form 3

Lessons • Boarding • Training • Sales • Judging • Interscholastic Equestrian Teams 8871 Patterson Road | Hilliard, Ohio 43026 | Cell: 614-580-2758

E-mail: [email protected] Web: www.dareequestriancenter.com

2020 Summer Camp Enrollment Form Child’s Name:_________________________________________________________________ Parent’s Name:________________________________________________________________ Address:_____________________________________________________________________ City:_________________________________ Zip Code:_______________________________ Phone:_____________________Emergency Contact Name: ___________________________ Phone: ____________________ Email:____________________________________________ Age:_________ Horse Experience: First Timer_____ Beginner_____ Intermediate_____ (Never ridden/ridden (Has ridden independently (Has taken lessons and can less than 10x) 10x or taken lessons) canter independently.) Explain prior horse experience: ______________________________________________ ______________________________________________________________________ Please circle your child’s T-shirt size: YS YM YL AS AM AL Dates Requested: 1st Choice:___________________________ 2nd Choice:______________________________ *YOU WILL BE NOTIFIED IF YOU FAIL TO GET YOUR FIRST CHOICE. Cost: Half Day $325.00 (9:00am-12:00pm) Full Day $495.00 (9:00am-3:00pm) To reserve a space –please send the following: 1. ½ fee as a Non-Refundable deposit (Make checks payable to Dare Equestrian Center) 2. Completed Summer Camp Enrollment Form 3. Completed Release of Liability – Waiver (download at www.dareequestriancenter.com)