Please Fill out Form Horse Enrollment-Camp Step 1 of 4 25% Name First Last Campers Name* First Last Email* Phone* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Horses Name*Height of Horse?*Breed?*Color?*Check OneGeldingMareHow many years of age?Horse's Health*Has your horse been exposed to any viruses and or had any contagious illness in past 12 months? If so please explain. We require all horses come on premises to free of ticks/parasites, and healthy. . Check All that apply to your horse* Escape artist (open gates/latches) Seems to stay by him/herself in the herd Loves be top pecking order Stays in Pasture Stays in Stall part of time & pasture Use electric fence at home Has never been in a stall N/A Check All that apply to your horse behaviors* If in stall fusses at other horses Social with other horses If in stall can be aggressive toward human Cribs Weaves Aggressive with other horses in pasture N/A Check what applies to your horse when tacking* Very cooperative and does what I ask Willing pick up feet easily Stands tied without setting back Easily takes the bit Will drop head when asked Need help with bit Bites when being cinched Will not stand still Heady shy Kicks out at other horses Paws while being tied Will not pick up feet N/A Experience when riding her horse:* Is cooperative in group other riders Take reins away Shakes his/her head Can be stubborn at times but not always Bolts or takes off Rears Very willing to do what is asked Bucks Has cold back Kicks out at other horses Barn Sour Will aggressively bite another horse Very nervous about anything above head Herd Sour N/A Do trust this horse with..* On trails Weather changes In the arena Only in round pen Around dogs Indoor arena other wildlife (example:deer) N/A Rider and her horse have:*Check off what experience she and her horse have done reguraly in past year. If it's rare you can list if you like with next question below. Barrels Cutting Flags or other Gymkhana Events Poles Only ride in Arena Trail Riding Currently travel to other locations to compete Ride in Pasture Reining Cow Sorting Have competed in last 2 years Dressage Drill Team Jumping Ride Bareback Ride through or over water with no problems Ridden in water with horse N/A What else do you want us to know about your horse?*What areas do you feel your horse needs help in?*What areas do you feel your daughter needs help with?* Bringing Your Own Horse Policy* I have read and understand requirement bringing my own horse. If you are bringing your own horse, boarding fee (non-refundable) must be paid in order for registration to be complete and hold your spot. If you decide the horse you had planned to bring does not work out for some reason, it will be your responsibility to find another horse. If a horse change needs to occur please email at least 4 weeks prior, so we can send you the form for the updated change. List of Requirements: broke, well behave, healthy, at healthy weight, must be in condition to handle full week of camp. Copy of Current Coggin,Tetanus Teeth floated at least within 8 months prior camp Current on feet care & recent exam for any pain. Health Certificate (within 30 days coming to the Ranch) 3. Feed, Facilities, and Services.*3. Feed, Facilities, and Services. Stable agrees to provide adequate feed and facilities for normal and reasonable care required to maintain the health and wellbeing of the horse. Boarder acknowledges they have inspected the facilities and find it in safe and proper order. 4. Boarding for Camp: Stable agrees to provide hay and owner responsible bring feed and supplies need for horse. I have read and understand 4. Risk of loss and standard of care.*4. Risk of loss and standard of care. During the time that the horse is in custody of stable, stable shall not be liable for any sickness, disease, estray, theft, death or injury which may be suffered by the horse or any other cause of action, whatsoever, arising out of or being connected in any way with the boarding of said horse, except in the event of negligence on the part of stable, its agents, and/or employees. This includes, but is not limited to, any personal injury or disability the horse boarder, or boarder's guest, may receive on stable's premises. The Boarder fully understands that Stable does not carry any insurance on any horse not owned by it for boarding or for any other purposes, whether public liability, accidental injury, theft or equine mortality insurance, and that all risks connected with boarding or for any other reason for which the horse in the possession of, and on the premises of Stable are to be borne by the Boarder. I have read and understand 5. Hold Harmless.*5. Hold Harmless. Boarder agrees to hold Stable harmless from any and all claims arising from damage or injury caused by boarder's horse to anyone and defend Stable from any such claims. Boarder agrees to disclose any and all hazardous or dangerous propensities of horse boarded with Stable. I have read and understand 6. Emergency Care.*6. Emergency Care. Stable agrees to attempt to contact Boarder should Stable feel that medical treatment is needed for said horse, but, if Stable is unable to contact Boarder, Stable is then authorized to secure emergency veterinary, and blacksmith care required for the health and well-being of said horse. All costs of such care incurred shall be paid by Boarder within one (1) days from the date Boarder receives notice thereof, or Stable is authorized, as Boarder's agent, to arrange direct billing to Boarder. The Stable is not responsible for paying for any medical treatment, it is the Boarder responsibility to pay for any treatment directly to Veterinary, Blacksmith, Farrier or Chiropractic care. Stable shall assume that boarder desires surgical care if recommended by a veterinarian in the event of colic, or other life-threatening illness, unless stable is instructed herein or on boarder's information sheets, by boarder that the horse is/are not surgical candidates. Horse boarding for Camp, owner must pay for medical care directly to Veterinarian, Blacksmith, Farrier or Chiropractic care. if horse needs medical attention. Boarder agrees to notify Stable of any and all change of addresses, emergency telephone numbers, itineraries or other information reasonably necessary to contact Boarder in the event of an emergency. In the event Boarder departs for vacation or is otherwise unavailable, prior to departure Boarder shall notify Stable as to what party is authorized to make decisions in the Boarder's place with regard to the health, well-being, and/or medical treatment of the horse. I have read and understand 7. Limitation of Actions.*7. Limitation of Actions. Any action or claim brought by Boarder against Stable for breach of this Contract or for loss due to negligence must be brought within one (1) year of the date such claim or loss occurs. I have read and understand 8. Shoeing and Worming.*8. Shoeing and Worming. Boarder agrees to provide the necessary shoeing and worming of the horse as is reasonably necessary, at Boarder's expense. Boarder agrees to provide Stable with all health records with regard to the horse. Boarder agrees to have the horse wormed and vaccinated on a regular schedule, and in the event same is not accomplished and proof of same presented to Stable within thirty (30) days from the date of such services or veterinary treatment, Stable is authorized to arrange for such treatment, but not obligated to do so; such expense shall be the obligation of Boarder, and upon presentation by Stable of the bill for such services rendered, including service charges, any bill shall be paid within fifteen (15) days from the date the bill is submitted to the Boarder. I have read and understand 9. Coggins Test.*9. Coggins Test. Boarder warrants that he owns the horse and will provide proof satisfactory to Stable of the negative Coggins test upon request. I have read and understand Balance due for Boarding?*If you already paid for boarding your horse during camp click no. If you owe click yes. Thank You NoYesBoarding for One Horse (Sunday-Friday 12 pm)* Price: $150.00 Quantity: Total $0.00 NameThis field is for validation purposes and should be left unchanged.