2026 Registration Form

Horseback Riding Camp

Summer Camp: Beginner $399 · Intermediate–Advanced $575 · IEA Camp $650 · Holiday Camp $175/day

Form approval is required before payment.

Each camp date is limited to 15 riders. The first 15 completed registrations are automatically confirmed. Additional riders are placed on the waitlist and cannot pay unless the Head Trainer confirms an opening.

Rider Information

Rider’s Full NameRider’s AgeRiding ExperiencePreferred Horse, if any

Camp Date Preferences

Please provide two or three acceptable dates in preference order. If only one week or certain individual days work, check the exception box and explain the schedule in the notes.

First Choice Second Choice Third Choice (optional)

Only one option or certain individual days work for this rider. Send this registration to Courtney for manual approval. Preference and Scheduling Notes

Contact Information

Parent/Guardian (optional—only for riders under 18)Email AddressPhone NumberHome Address

Emergency & Medical Information

Emergency ContactEmergency Phone

Allergies, medical conditions, medications, or accommodations

AcknowledgmentI confirm that the information above is accurate. I understand that the first 15 completed registrations for a camp date are automatically confirmed, and later registrations are placed on the waitlist until the Head Trainer confirms an opening.

Adult Rider or Parent/Guardian SignatureDate

Questions? Contact Courtney Carlson at 614-260-3523 or ccarlsonllc@gmail.com.