FALL CAMP REGISTRATION
Step #2

Youth Camp Camper Information & Participation Agreement Form

Fall Camp

I am registering for:(Required)

Cost: $75

Fall Camp on 10/18/24 (13 spots left)

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Camp Payment Options (Test Week)

Cost: $Test

Fall Camp on 10/03/24 - Test

Camper's Information

Camper's Name:(Required)

First Last

Camper's Age:(Required)

Please enter a number from 5 to 99.

Camper's Date of Birth:(Required)

Camper's Height (ft.):

Select campers height in feet.

Camper's Height (in.):

Select campers height in inches.

Camper's Weight (lbs.)

Select approximate weight.

Current Address:(Required)

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

Camper's Previous Horse Experience:(Required)

(If none, please write "none")

Guardian/Emergency Contact Information

Primary Guardian / Emergency Contact #1:(Required)

First Last

Primary Guardian / Emergency Contact #1 Email:(Required)

Primary Guardian / Emergency Contact #1 Phone Number(Required)

Other Person(s) Allowed to Pick-up Camper:(Required)

First Last

 Secondary Emergency Contact

Secondary Emergency Contact(Required)

(Other than Parent Above)

First Last

Secondary Contact's Phone:(Required)

Secondary Contact's Email Address:(Required)

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

First Last

Primary Care Physician or other medical care provider's Phone Number:(Required)

Camper Participation Agreement

On behalf of Child/Participant, Parent/Guardian hereby agrees to the following: 

Camp starts at 9:00am and ends at 4:00pm (before and after childcare can be provided upon request).

Each camp participant is expected to participate in barn chores associated with riding and caring for camp horses. This includes but may not be limited to: sweeping, filling and dumping water buckets, filling hay nets, mucking (cleaning stalls), cleaning equipment, grooming and bathing horses.  

ATTIRE: Wear long pants, shirt or polo shirts and boots with low heel while riding.  NO riding in shorts, tennis shoes, or sandals. Closed toe shoes must be worn at ALL times in the barn and around animals – shoes may only be removed during water activities. Bring an extra set of clothing (this can be stored and left at camp all week unless used and in need of being replaced). Bring a bathing suit each day and towel.  

FOOD/DRINK: Bring lunch, snacks, and water daily – as much as the camper should need all day. Please note: we are a nut free farm, no nut products are allowed at camp.  

SAFETY: Respect safety rules indicated by instructors at ALL times (no running around horses, no standing behind horses, etc....please refer to our lesson policy agreement for additional rules and policies). No fire, firearms, alcohol, or drugs permitted on premises. A signed liability release form for camper must be on file. Have a positive attitude towards horses, other campers, and instructors.

I agree to the Camp Participation Agreement.(Required)

Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement

1. Forever RELEASE and DISCHARGE The Farm, its directors, agents, employees, instructors, and owners of the horse and stables (hereinafter collectively referred to as “Released Parties”) from any and all liabilities, claims, demands or cause of action that I may hereafter have for injuries and damages arising out of my or my child’s participation in activities at The Farm.

2. Acknowledge that horseback riding is an inherently dangerous activity and involves risks that may cause serious injury and in some cases death, because of the unpredictable nature and irrational behavior of horses, regardless of their training and past performance.

3. Acknowledge that wearing a helmet approved by ASTM/SEI for the purpose of horseback riding is a requirement for my child or me, and I understand that injury or death may result from my or my child’s participation in horseback riding even when a safety helmet approved by ASTM/SEI is worn properly.

4. Acknowledge that a horse may, without warning or any apparent cause, buck, stumble, trip, roll, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person’s feet, push or shove a person; saddles or bridles may loosen or break- all of which may cause the rider to fall or be jolted, resulting in serious injury or death.

5. Understand that if I or my child am pregnant, a doctor has been consulted regarding the safety of myself, my child, or my unborn child or my child’s unborn child, and that serious injury or death to myself, my child, my unborn child, or my child’s unborn child could arise due to the dangers involved in horseback riding, as stated above.

6. Voluntarily assume the risk and danger of injury or death inherent in the handling or riding of a horse, and use of saddles, bridles, equipment and gear provided to me or my child by the released parties.

7. Release, discharge and promised not to sue the Released Parties or any loss, damages, injury (including death) or cost to my or my child’s person or property arising out of horseback riding or handling a horse, use of saddles, bridles, equipment or gear provided by the Released Parties.

8. Release the Released Parties from any claim that such Released Parties were negligent in connection with my or my child’s riding a horse, including but not limited to training or horse selection, maintenance, care, fit, or adjusting of saddles or bridles, instruction on riding skills or leading and supervising riders, which resulted in loss, damage injury or both.

9. Indemnify, and save and hold harmless the Released Parties from and against any loss, liability, damage or cost they may incur arising out of or in any way connected with either my or my child’s handling or riding of a horse and/or use of any saddles, bridles, and equipment or gear provided therewith resulting from or contributed to by my own negligence.

10. Expressly agree that foregoing release and assumption of risk, and indemnity agreement is governed by the law of the State of Maryland and intended to be as broad and inclusive as is permitted by law, and that in the event any portion of this Agreement is determined to be invalid or unenforceable for any reason, the balance of the Agreement shall not be affected or impaired in any way and shall continue in full legal force and effect.

I have read this document; I understand it is a promise not to sue and to release The Farm, its owners, employees and agents, for all claims. I have made a free deliberate choice to sign this Release and Waiver as a condition to the Released Parties allowing me or my child to participate in horseback riding activities.

I agree to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement(Required)

DIGITAL MEDIA RELEASE & WAIVER:

DIGITAL MEDIA RELEASE & WAIVER:(Required)

I agree Horse & Hive Farm may use my or my child’s likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand Horse & Hive never posts names or other identifiable information when using digital media in any form unless we have previous permission from the subject(s).

Yes, I grant permission.

No, I do not grant permission.

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Stay up-to-date with horse riding tips, news, events, camps, activities and more.

Yes, add me to the list.

No thanks

I am already on the list 🙂

The parties agree that this agreement and all information provided therein may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposed of validity, enforceability, and admissibility.

Date Signed(Required)

Your Legal Name(Required)

Signature below must be Parent or Legal Guardian.

First Last

Your Email Address(Required)

Camper Participation Agreement Signature(Required)

This will also act as the signature for the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement that was initialed above.

Reset

Payment Options

Total

Credit Card(Required)

Card Details

Cardholder Name

HOW TO:

✅ Here’s how to properly enroll your child in Fall Camp and secure a spot:

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

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

					The absolute best! ❤️ Amber Frost does an amazing job running the farm and is very detailed oriented. Fantastic communication with the boarders about weather related events, appointments and scheduling.
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Jennifer Malinosky
8/04/2020
					I finally have my Goldilocks barn. Just right. Hektor couldn’t be happier!
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Betsy Susanne
2/17/2015
					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
					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
					This farm is a beautiful place to call home for your horse. Amber and Ryan are truly wonderful and very caring people. They go above and beyond to give the best care to their farm and to our horses!
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Kathy Kohlerman D’Antonio
6/23/2017
					Great owners and beautiful location. Go above and beyond to please their customers.
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Ken Kyger
6/05/2023
					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
					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
					Classy place to receive excellent riding lessons and advice. Have used them for several years and always super happy with the team of folks there.
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Scott Biggs
7/05/2022