New Lesson Students: Please bring with you to first lesson.
Horse Camp Registrations: Please enclose $200 non-refundable deposit (or full payment of $400)
to reserve spot for the week of camp or enclose $100 to reserve spot for Saturday horse camp or day/s of week camp.
Mailing Address:
Boone Creek Farm
13001 West Rd.
Zionsville IN 46077
Boone Creek Farm - Registration Form
Student's Name____________________________________________Date of Birth____________________
Address_________________________________________City__________________Zip______________
Mom’s Name_________________________________ Dad’s Name_______________________________
Student/Mom’s Cell_______________________________Dad’s Cell________________________________
(Parent) Email Address_____________________________ Home Phone__________________________
Emergency Contact_____________________________Emergency Contact Phone___________________
Child’s Allergies/Food Allergies:___________________________________________________________
Medical Conditions We Should Be Aware of__________________________________________________
Who is authorized to pick up child?_______________________________________
BCF is authorized to use any photos for advertising: ____YES ____NO
Signing up for: ____LESSONS ____HORSE CAMP
Horse Camp: Date/s of the camp/s your child plans to attend: ______________________________________
Participant Agreement, Release & Acknowledgment of Risk: As the legal guardian of _________________________, I hereby consent to the aforementioned person participating in Boone Creek Farm’s Summer Camp and riding lesson programs. I recognize that potentially severe injuries including permanent paralysis or death can occur in activities involving horses and horseback riding. I understand that it is the express intent of Boone Creek Farm to provide for the safety and protection of my child, and, in consideration for allowing my child to use this facility, I hereby forever release Boone Creek Farm and its owners, children, employees, and instructors from any and all damages and injuries suffered by my child while under the instruction, supervision, or control of Boone Creek Farm. Also, I understand that the Pryors have made no representations or warranties with respect to the condition of the horses or their property, whether express or implied, in connection with the activities. This acknowledgment of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.
Name___________________ (Parent) Signature__________________________Date_________________
Horse Camp Registrations: Please enclose $200 non-refundable deposit (or full payment of $400)
to reserve spot for the week of camp or enclose $100 to reserve spot for Saturday horse camp or day/s of week camp.
Mailing Address:
Boone Creek Farm
13001 West Rd.
Zionsville IN 46077
Boone Creek Farm - Registration Form
Student's Name____________________________________________Date of Birth____________________
Address_________________________________________City__________________Zip______________
Mom’s Name_________________________________ Dad’s Name_______________________________
Student/Mom’s Cell_______________________________Dad’s Cell________________________________
(Parent) Email Address_____________________________ Home Phone__________________________
Emergency Contact_____________________________Emergency Contact Phone___________________
Child’s Allergies/Food Allergies:___________________________________________________________
Medical Conditions We Should Be Aware of__________________________________________________
Who is authorized to pick up child?_______________________________________
BCF is authorized to use any photos for advertising: ____YES ____NO
Signing up for: ____LESSONS ____HORSE CAMP
Horse Camp: Date/s of the camp/s your child plans to attend: ______________________________________
Participant Agreement, Release & Acknowledgment of Risk: As the legal guardian of _________________________, I hereby consent to the aforementioned person participating in Boone Creek Farm’s Summer Camp and riding lesson programs. I recognize that potentially severe injuries including permanent paralysis or death can occur in activities involving horses and horseback riding. I understand that it is the express intent of Boone Creek Farm to provide for the safety and protection of my child, and, in consideration for allowing my child to use this facility, I hereby forever release Boone Creek Farm and its owners, children, employees, and instructors from any and all damages and injuries suffered by my child while under the instruction, supervision, or control of Boone Creek Farm. Also, I understand that the Pryors have made no representations or warranties with respect to the condition of the horses or their property, whether express or implied, in connection with the activities. This acknowledgment of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.
Name___________________ (Parent) Signature__________________________Date_________________