FARM LIFE REGISTRATION FORM ONLINE | WILLOWS EDGE FARM

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Farm Life Camp lessons Registration

Online Registration Now Available!

All Family Farm Life lessons require pre-registration with full payment of $89. per camper/day in advance. Camp size is limited due to the busy nature of our farm, so early registration is recommended. No refunds for cancellations less than 30 days in advance. Cancellations prior to that will be refunded less a $25. processing fee. If for any reason, we are required to cancel a lesson, you will be entitled to a full refund or may reschedule at your option. Due to our very small group size, we are unable to refund for sick children as well—-please consider sending a sibling or friend in their place (with a new registration form).

A sack lunch should be brought and snacks are provided, unless you wish to send your child with their own. PLEASE - Note any food allergies below in the medical/emergency information. Parents or guardians are asked to have their child arrive between 9:00 - 9:15am. They are asked to return to pick-up their camper by 4pm. Additional time before 9am or after 4pm is available and we ask that you book that ahead of time so that we can plan fun things during this time for your child as well. Additional care is $10. per hour/per child.

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING.

Serious injury may result from your/your childs participation in this activity. This Stable cannot guarantee your/your childs safety.
REGISTRATION OF RIDERS AND AGREEMENT PURPOSE - In consideration of the payment of a fee and the signing of this agreement, I, the parent or legal guardian thereof if a minor, do hereby agree to hire from THIS STABLE a horse, tack and equipment, personnel and riding area for the purpose of horseback riding today and on all future dates.

Campers Name *
Age *
Grade *
Camp Dates *
E-mail Address (PLEASE DOUBLE CHECK): *
Riding Experience *	None Less than 10 hours More than 10 hours
Does this rider have a physical or mental condition, which may affect his/her safety and ability to ride a horse, of which we should be aware? *	No Yes
If Yes, how can we help with their needs?
Parent/Guardian Name
Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Work Phone
Additional Phone
Emergency Contact Name *
Emergency Contact Phone *
Physicians Name *
Physicians Phone *
Allergies (Including FOOD), Medications & Special Needs: *
ACCIDENT/MEDICAL INSURANCE - I AGREE THAT: Should emergency medical treatment be required, I and/or my own accident/medical insurance company shall pay for ALL expenses. Insurance Company: *
Policy Number *
Please describe your childs experience around animals
Helmet rentals are included in the cost OR you can bring your own (MUST be Equestrian). See our LESSONS Web Page for a coupon for Olson Mills. Equestrian Helmet *	I want to use the Stables Helmet I will provide my own SEI Certified Helmet
Electronic Signature of Legal Parent or Guardian *


* Required	Create Email Forms

When you click SUBMIT, we will automatically receive your registration. We will also automatically send you a copy of what you entered. IF you do not receive a copy - check the email address that you typed in above. If that is correct, the other place it may be is in the spam/junk folder. Since we use a second party to host our form, it gets re-routed and in our test mode, went to our own junk folder.

PAYMENT:
Registration will NOT hold your child's place for Farm Life Camp. If you have already submitted your payment, thank you. If not, please go to our Dates & Payment Page and submit your payment through PayPal OR you can mail a check to the farm. Please label it "Farm Camp" along with your child's name. Our address is:
Willows Edge Farm
18505 51st Ave SE
Bothell, WA 98012

WHAT TO BRING:
Your child will need to bring along: Boots (they WILL get dirty) -
A. Rubber/water-proof boots (at least ankle high) - available at feed stores anywhere. and/or
B. Boots or hiking shoes with a 1/2"- 1" heel. No dress shoes, please.
Long pants are required to be able to ride the horse.
Lunch.
Change for vending/candy machines (if desired).
Treat for horses (if desired).