2013 Camp Registration Form
Name of Camper:_______________________________________________
Age of Camper:__________Birthdate:______________
Height:_________________Weight:________________
Parent/Guardian's Names:_______________________________________
Address:______________________________________________________
______________________________________________________________
Phone Number:___________________E-mail:________________________
Camp Dates Attending:__________________________________________
______________________________________________________________
Level (circle one): Beginner Intermediate Advanced
Discipline (choose one): English Western
Please describe riding level in more detail:________________________
______________________________________________________________
______________________________________________________________
Concerns (Allergies, Medicines, etc.):_____________________________
______________________________________________________________
Is there any other information about the camper that we should know?
______________________________________________________________
______________________________________________________________
To register for camp:
E-mail: trkoons@comcast.net
Mail completed form to: Breezy Hill Stables
Attn: Robyn Koons
15117 Mud College Rd.
Thurmont, MD 21788
Breezy Hill Summer Camp Registration Form
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Riding Level Descriptions:
English and Western Riders Welcome
Beginner: No prior experience with horses or have ridden a
few times with help from an adult (pony rides).
Advanced Beginner: More than a beginner, but not riding in
a group of other horses and riders. Needs assistance from adult at
walk and trot
Intermediate: Comfortable walking and trotting in a group of
other horses. Knows basics of grooming, tacking up and horse
safety. May also be just starting with the canter with help from an
adult
Advanced: Can Walk, Trot, and Canter by oneself in a group
of other riders. Can groom and tack up horse by oneself