MEMORIAL DAY CAMP REGISTRATION
Step #1

Youth Camp Health History Form

Camper'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 campers 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

Camper Signature or Parent or Legal Guardian’s Signature:(Required)

(If Camper is Under 18 Years)

Reset

Date of signature(Required)

Submit and continue to Step #2

HOW TO:

✅ Here’s how to properly enroll your child in Memorial Day 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.

					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
					Nice and friendly atmosphere and they take great care of your hooved kids!
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Anna DiGennaro
6/06/2018
					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
					Awesome farm….Horses love it.
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Jean Duncan Bosley
6/20/2014
					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
					Amazing🐴🐎Really nice people
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Mary Kelly
5/26/2020
					Great owners and beautiful location. Go above and beyond to please their customers.
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Ken Kyger
6/05/2023
					I finally have my Goldilocks barn. Just right. Hektor couldn’t be happier!
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Betsy Susanne
2/17/2015
					What a JOY to share our morning ( Sat 04/14/18 )with Horse & Hive Farm.  Troop # 117 is a Special Needs Boy Scout Troop for young men with disabilities ranging from autism to non-verbal to blindness and wheelchair bound. Kaitlyn and the crew were so very patient and so caring with each of our boys and their kindness and compassion was genuine as they endeavored to see that each boy went away with not only knowledge, but a great experience.  Whether is was a gentle horse kiss on a cheek, brushing a horses’ coat, picking a hoof, or being a stall pooper-scooper, every detail was carefully thought out and planned and finished out with a ride for each scout.  Every boy had an amazing time, and every parent was so impressed by the lengths you went to to make each boy successful in what he did. Kaitlyn…..you are just beyond awesome, and we so appreciate you and your team.  Troop # 117 is already expressing desires to come back.  Thank you for such an incredible experience.
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Shirley Robinson
4/16/2018
					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