Camp Howdy Horse Camp

Registration Form

Please call Leslie at (541) 482-1508 if you need more information.

Rider's Information  
Name
 
Address
 
City
 
State
 
Zip
 
Date of Birth
 
Medical Concerns, if any (allergies, etc.)
Level of Riding Experience
 
Number of Years Riding
 
Start Date of Session Desired
 
     
Parent's Information    
Name
 
Phone Number
 
Email
 
     
Emergency Information    
Doctor's Name
 
Doctor's Phone Number
 
Emergency Contact #1    
Name
 
Phone
 
Emergency Contact #2    
Name
 
Phone
 
     
Special Instructions    
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