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.

					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
					I love this place so beautiful and happily kept!
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Natalie Williams Musto
3/13/2017
					Nice and friendly atmosphere and they take great care of your hooved kids!
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Anna DiGennaro
6/06/2018
					Amazing🐴🐎Really nice people
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Mary Kelly
5/26/2020
					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
					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
					If you are looking for a safe place to learn, re-learn, or build on existing knowledge…Horse and Hive is the place to be! Fields are always green, horses are happy and everyone is so kind! The farm offers unique amenities that are not available all other farms; there’s a race track to condition on, a trail obstacle course to build confidence and change up the sandbox routine, and a whole gaggle of trainers who come from a variety of backgrounds and each brings something super special to the farm. As an adult who works in the horse industry, and has been formally involved with horses (and riding on and off, but mostly on) since I was 7, I have a lot to compare the farm to- and all I can say is 5 stars indeed! My pony and I can’t imagine any other place to be!!
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andrea brand
7/05/2022
					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
					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
					Favorite farm ever!!! Amber Frost is such a amazingly kind person, she makes sure that this barn is a drama free zone!
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Claudia Quinn
9/03/2019