Camper Information Name:_________________________________Age:___________

Address:____________________________________________ Zip:___________

Parent or Guardian:__________________________________________________

Phone: ______________________________ Cell: ________________________

Helmets are mandatory. Most children prefer to have their own but the stable has a few available for rental. Please reserve helmets early if you plan to rent. If you know that you will be picking your child up after 3:00 please include payment for aftercare. We offer extra activities for a charge of $50.00 per week. We have overnight camp available at $400.00 per week. All meals are included and as always extra horse activities. Call about Weekends! Board your child’s horse with us during summer camp for $10.00 per day. Current coggins and vaccinations required.

Payment options: _____Check or _____Money Order made payable to Jackson Equestrian Center
Or register Online! Paypal is also accepted online: pay by credit card to jtackstore@hotmail.com

I understand that no refunds are given if child leaves early because of homesickness or disruptive behavior. In case of early withdrawal due to accident or illness the camp fee will be prorated. A doctor's note is need for any refunds. I understand that all cancellations must be given in writing no later than 3 weeks prior to camp session. No refunds are given without written consent.