PAINT AND RIDE
Step #1

Rider Health History Form

Rider's Name(Required)

First Last

Parent or Legal Guardian Email(Required)

Current residence(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

EMERGENCY CONTACT INFORMATION

Emergency Contact Person(Required)

First Last

Emergency Contact Phone(Required)

Primary Care Physician or other provider of medical care(Required)

First Last

HEALTH INFORMATION

Are there any pertinent health problems including physical, psychiatric, or behavioral problems of which we need to be aware?(Required)

YES, and I have discussed employment/volunteering at camp with my healthcare provider including considerations related to risk of COVID-19

Explain health problems and any considerations:

Are there any medications, dietary restrictions, allergies, or special needs of which we need to be aware?(Required)

YES

Please explain any medications, dietary restrictions, allergies, or special needs of which we need to be aware?

A separate medication form will be emailed to you upon submitting your camp registration. Please fill that out and send it back to us.

IMMUNIZATION INFORMATION

Do you currently reside within the United States, a United States territory, or the District of Columbia?(Required)

YES

Do you have any immunization exemptions because of a parental or guardian objection or medical contraindication?

YES

Please list any immunization exemptions:

For riders who reside outside the United States, a United States territory, or the District of Columbia:

Please fill out and email us a record of vaccination or immunity on Department form MDH-896. This form will be emailed to you upon submitting this form.

SIGNATURE

Your Legal Name(Required)

First Last

Rider's Signature or Parent or Legal Guardian’s Signature:(Required)

(If Rider is Under 18 Years)

Reset

Date of signature(Required)

Submit and continue to Step #2

HOW TO:

✅ Here’s how to properly enroll in Paint and Ride and secure a spot:

Step #1: Complete & sign our health form.
Step #2: Complete & sign our rider form.
Step #3: 💳 Make a payment.

📎You’ll be emailed a confirmation of both forms after completion.

					Sybil and Sophia both loved the summer camp and are hoping to continue with lessons there.
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Paul Kirkegaard
7/24/2019
					Addison,my daughter loves it here. The people are great and April is a great instructor
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Bert Horner
7/24/2022
					Pretty farm in the Long Green Valley. Horses well cared for, big green fields and great owners. managers, and fellow boarders. No Drama!
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Elaina Lucy Thomas
3/22/2021
					Amazing🐴🐎Really nice people
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Mary Kelly
5/26/2020
					Lovely place with happy horses!
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Elizabeth Sogge
12/13/2020
					Had a great time today with my two youngest daughters. They participated in a half day summer camp. This was their first time riding horses and they had such a good experience they want to continue with lessons in the future. Amber and Ellie were wonderful  with the girls and we will definitely be back.
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Damion Dengler
8/25/2023
					Awesome farm….Horses love it.
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Jean Duncan Bosley
6/20/2014
					Great owners and beautiful location. Go above and beyond to please their customers.
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Ken Kyger
6/05/2023
					I would recommend Horse & Hive Farm to anyone. My daughter 5 loved it so much. She had so much fun and we will definitely be back she is still talking about it. Kaityln was her instructor & a few helpers they did awesome and had lots of patience as my daughter is very hyper and just wanted to jump although it was her first time. She rode sprite and she was such a good horse!
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Megan Flanagan
6/09/2020
					Staff and Boarders are amazing and truly care about the facility. Couldn’t be happier anywhere else! Thank you H&H for everything!
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Blake Lund
6/06/2018