Register Day Camp Here! June 24-28th Please contact us for our day camp we are close to full! Thank You Step 1 of 6 16% Password Needed*Go to Contact Page to request password. Parent/Guardian Name* First Last Cell Phone*Email* Day Camp Tuition$380 Enroll by April 1st $410 Enroll after April 1st After April 1st Full Payment is required. Camp shirt and awards included in tuition Camper's Name* First Last Camper's Shirt Size*Y-SY-MY-LA-SA-MA-LCamper's Birthday* Date Format: MM slash DD slash YYYY Camper's age as of June 1st, 2018*6789101112Camper GenderFemaleMalePrevious Riding Experience*None0-5 hours (walk only)5-20 hours (walk only)5-20 hours (walk,trot)20+ Rider able trot, lope on their ownCurrently taking Lessons 2-4 times/month, trot, lope on their ownNot taking lessons ride 3-4 times/month, trot, lopeCamper's grade level start of June 1st, 2019*K1st2nd3rd4th5th6th7th8thCamper's height*3'8" - 3'11"4' - 4'4"4'5" - 4'7"4'8" - 4'11"5' - 5'3"5'4" - 5'7"5'8" - 6'Camper's weight*50 - 60 pounds61 - 70 pounds71 - 80 pounds81 - 90 pounds91 - 100 pounds101 - 115 pounds116 - 130 pounds130 - 150 pounds2nd Phone #Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Known Allergies*YesNoAllergies*(check all that apply): Animals Insect Stings Medications Food Hay Fever/Pollen Plants Other Other/Specify Allergies:*Known Medical Conditions that could affect camper's riding* How did you hear about us?*FriendRelativePrevious CamperCamp Advertising SiteSearch on InternetotherWhich website did you hear about us?*Please describe riders experiencesIf no experience write - none Important Safety Information*Horseback riding is a very physical outdoor recreational activity. For camper safety and the safety of others, participants must meet certain physical requirements to attend camp at M&M Ranch. Our camp is designed for our campers to ride in groups. Campers must be in good physical shape and not have any conditions that may affect their ability to participate in all camp activities. These include but are not limited to items such as arthritis, excessive weight, back or neck pain, decreased motor skills or other physical issues that may contribute to a difficulty balancing, staying seated, holding the reins or controlling a horse. Campers must be able to mount and dismount a horse without assistance (Instructors will help younger campers). Campers must be able to meet the rigors of riding, including dismounting the horse without stirrups. Campers must have the ability to independently remain seated and balanced on a horse in motion while simultaneously directing a horse's travel and speed for at least 1-2 hours. Campers must be able to withstand summer exposure to the outdoors, including hot, cold and or wet weather for a period of at least 2 hours. For the safety of all campers, we do not offer services for special needs riders. We recommend that you visit R.O.C.K. - Ride On Center for Kids which specializes in special needs riders. We are not set up to have one on one instruction with riders who have special physical or emotional limitations. Thank You! I have read and understand the Important Safety Information on attending summer camp at M&M Ranch. Medical InformationInsurance Name*Insurance Phone #*Policy Holder's Name* First Last Relation to Camper*GrandparentParentFriendOther RelativeGroup ID#*Policy ID#*Emergency Contact Name*(Other than parent listed on enrollment form) First Last Emergency Contact Phone*Relation to Camper*Illnesses & Injuries*(check all that apply) Chronic or Recurring Illness or conditions that could affect riding: Asthma Constipation Bleeding/Clotting Disorders Diabetes Ear Infection Emotional Disturbances Fainting Hearing Impairment Nosebleeds Musculoskeletal Disorders Menstrual Cramps Wears glasses or contact lens Other None Specify Other Illness or Chronic Condition:*Medications allowed to be administered to my child during camp:*(check all that apply) Benadryl (allergic reactions) Gas-X Ibuprofen Liquid Benadryl (skin allergies) Neosporin (skin irritations) Tea Tree Oil (insect bites) Tums Tylenol (pain) None PaymentDay Camp Full Payment - non-refundable*Full Payment$380 Enroll by April 1st $410 Enroll after April 1st After April 1st Full Payment is required. Camp shirt and awards included in tuition If you like additional shirts for your child or others please select shirt you like to purchase.Camp shirt is included with your enrollment. Need another camp shirt?YesNoCamp Shirt SizesY-SY-MY-LA-SA-MA-LAnother camp shirt?YesNoCamp Shirt SizesY-SY-MY-LA-SA-MA-LLate Pick up 3pmPick which days you will need pick up your child by 3pm. Monday Tuesday Wednesday Thursday Early Drop off by 7:30Pick which days you will need drop your child off early. Tuesday Wednesday Thursday Friday Are you bringing your own horse?*NoYesBringing Your Own Horse Policy*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, must be in condition to handle full week of camp. Copy of Current Coggin,Vaccines, 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) I have read and understand requirement bringing my own horse. Total $0.00 Cancellation Policy*If for some reason, (e.g. emergency), you need to cancel your child’s camp the following conditions apply: If cancellation is made before April 1st by email. Conditions apply: Must be in writing confirmed by camp director, if deposit was made ($75 refunded) if full payment was made ($150 refunded). If you have an emergency and need to cancel your child’s camp after April 1st, please contact the camp director by email. We do not offer refunds for any reason. If you have an emergency and need to cancel your child’s camp session after April 1st, please email us. We do not offer refunds for any reason. Your enrollment for camp will not be complete until we receive all required forms. I have read and understand the Payment, Cancellation, Refund Policy on attending summer camp at M&M Ranch. Cancellation Policy*If for some reason, (e.g. emergency), you need to cancel your child’s camp the following conditions apply: The deposit is non-refundable. Balance due by April 14th. If cancellation is made before April 1st by email. Conditions apply: Must be in writing confirmed by camp director, if deposit was made ($75 refunded) if full payment was made ($150 refunded). If you have an emergency and need to cancel your child’s camp after April 1st, please contact the camp director by email. We do not offer refunds for any reason. If you have a balance due after the posted deadline the late fee of $60 for Day camps will be applied. If the balance is not paid in full within 5 days of posted deadline, your child’s spot will be forfeited to the next child on the wait list. (you will lose your reservation & deposit) Your enrollment for camp will not be complete until we receive all required forms. I have read and understand the Payment, Cancellation, Refund Policy on attending summer camp at M&M Ranch. IMPORANT*Submitting your enrollment may take a few moments. Don't refresh or close the page after you make your payment. After you make the payment it will take you to our Campers Check List Page. Yes, understand Today's Date Date Format: MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.