CLARITY EQUINE CAMP REGISTRATION

1289 Route 12, Miscouche, PE

Participant Information

First name

Last name

Address

Birthday

Year

Month

Day

Health Card Number

Does the participant have any allergies? Is an Epi-pen required? Please list all necessary.

Does the participant have any medical issues? Medication?

Does the participant have any known learning and of physical limitations? Please list:

Anything else we should know?

Guardian Information

First and Last Name

Phone

Do you give permission to have pictures and videos posted to our website and social media pages?

Yes, I give permission.

No, I don't give permission.

Policies

Payment policy – Payment is due on registration of camp.

Yes, I understand

Helmet policy - All individuals under 18 are required to have an ASTM/SEI certified helmet.

Yes, I understand

Lost or stolen policy – Clarity Equine will NOT be held responsible for any lost or stolen items.

Yes, I understand

WAIVERS are mandatory. These MUST be completed to participate. Please make sure the participant/guardian has filled out the correct waiver (which can be picked up) or emailed.

Yes, I understand

Camp date

WHAT TO EXPECT