Camp Registration

Fields with a * are required. Please fill out as much of the form as possible.

Rider Information
Name*
Age*
Address*
Street Address Address Line 2 City Province Postal Code
Home Phone*
Business Phone
Email Address*
Enter Email Confirm Email
Cell Phone*
Previous Riding Experience?*
- Yes
- No
If Yes, where and how much? Include number of weeks attended and any relevant details.
Dates Requested*
Emergency Contacts
Contact 1 Name*
Contact 1 Phone*
Contact 2 Name
Contact 2 Phone
Health Information
OHIP Number*
Any health conditions, previous injuries, allergies, illness, of which the staff should be aware:*
Please list any medication that the rider is bringing:
Payment Information
A non-refundable deposit of $100 must be received to reserve your spot.

Rider Information