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Registration

1-Day Horse Camp Registration Form

By completing this form you acknowledge that you are, (1) You are over the age of majority in your jurisdiction of residence. (2) You are registering on behalf of a minor and are his/her parent/legal guardian and as such are fully authorized and entitled to enter into this agreement on his/her behalf.

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Please provide your email address below to receive your registration confirmation, newsletters and information guide! IN ORDER FOR REGISTRATION FORMS TO BE PROCESSED, ALL SECTIONS MUST BE COMPLETED.

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Main Contact

Gender

Secondary Contact

Gender

Participant's Information

Gender

Emergency Pick Up or Alternative Pick Up

This is a person over-the age of 16 who is authorized to pickup your child and can be contacted by NBIS staff when the parent/guardian can’t be reached.

Campers 11 years old and under must be signed in and signed out by a parent/guardian or a person over the age of 16. If your child is 12 or older does she/he have your permission to be released on their own at the end of their camp day?

Code of Conduct

The safety of each individual in the event is of the utmost importance to the NBIS Team. Each registrant must recognize a personal responsibility to learn and follow at all times the safety and other rules established by NBIS staff. I hereby agree that any behaviour of the registrant that places him/herself or others at risk may result in the registrant’s immediate dismissal from the program. Further, if dismissed from the program, I agree to cover any expense(s) arising from such dismissal. I hereby acknowledge and agree that no refund will be granted for dismissal or removal of the registrant at his/her request before the end of a event session. In order to ensure the safety and well‐being of all individuals participating in the program, the NBIS reserves the right to alter the program at any time without notice or compensation to the Registrant.

I have read and understand the Code of Conduct.

Are there any court orders or custody restrictions which would prevent us from communicating with either parent/guardian? 

If yes, we will contact you for additional information.

Health History and Personal Information

The more information you can provide, the better we can meet the needs of your child. This information will be used by the Day Camp Team Members and Directors to support your child. If there is additional information of a sensitive nature, please feel free to send a separate letter marked ‘confidential’ to the attention of the Day Camp Directors. Whatever information you send to us will be treated with confidence and respect. We encourage, but do not require, a medical examination.

Is the participant under any form of treatment for an illness, condition or injury?

If yes, please explain and detail routines, medications, adaptations etc. We also require you to complete a Medication Dispensing Form.

Does your child require 1‐1 support while at camp?

If yes, please make sure you have filled out the online inquiry form and connected with us, prior to filling out this registration form. If you have not, please email us and we will send you the link to the inquiry form.

Does your child have any medical or behavioral conditions that we should be aware of?

If yes, please explain.

Does your child use an inhaler?

Wears a Medic‐Alert Bracelet:

For:

Carries Epi-pen:

Allergies:

Seasonal:

Drugs:

Food:

Insect:

Other:

Dietary needs or restrictions:

Other:

Thanks for registering to our event. See you there!

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