NAME:_____________________________________________________

ADDRESS:___________________________________________________

CITY______________________STATE___________________ZIP______

 AGE:_____________

HOME PHONE:________________________ CELL_________________________________

OFFICE:______________________________ PAGER:_______________________________

CAMP DATES:_______________________________________________

RESIDENT CAMPER_______       DAY CAMPER_______

Questions for the Camper:

PLEASE BE HONEST FOR THESE QUESTIONS – IT HELPS US PLACE YOU THE FIRST DAY IN THE GROUP BEST SUITED FOR YOU. WE EVALUATE EACH DAY AS TO YOUR PROGRESS – SO YOU WON’T BE HELD BACK FOR ANY LACK OF SKILLS.

HAVE YOU RIDDEN A HORSE BEFORE? (pony rides don’t count) ______

HAVE YOU HAD PROFESSIONAL INSTRUCTION IN ENGLISH OR WESTERN RIDING?_______

DO YOU TROT/POST ? _______   Diagonals?_______  DO YOU CANTER/LOPE? ________

HAVE YOU EVER HAD JUMPING INSTRUCTION? _________

DO YOU TRAIL RIDE? _______

HOW OFTEN HAVE YOU RIDDEN? __________________________________________

HAVE YOU EVER ATTENDED HORSE CAMP? _______

IF SO, WHERE? _______________________________________________________

WE VERY MUCH LOOK FORWARD TO MEETING YOU AND ENHANCING YOUR EQUESTRIAN ABILITIES.