Mini-Buckaroo Camp Registration

Please complete and submit the registration form below to proceed with your purchase.

Enrollment Guidelines - Please Read

  • All campers must have the ability to follow and execute oral instructions.
  • All camps are 5 days unless otherwise stated.
  • Deposits are not refundable.
  • Balances for all camps are due by May 1, 2020.
  • Kraus Farms reserves the right to change or cancel any camp due to low enrollment.
  • Confirmation of the camp reservation will be sent via email. We strongly encourage early registration to ensure your first choice.
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    Camp date you selected to book:*

    *Note: This form is not a reservation for camp. In order to reserve your spot, you will need to complete your purchase after completing this registration.
     

    Camper Contact Information

    Camp T-Shirt Size (required)
    Youth XSYouth SYouth MYouth L

    Emergency Contact Information

    Medical Information

    Physician Name:

    Insurance Carrier:

    Physician Phone:

    Insured's Name:

    Day Phone:

    ID#:

    I, , agree to pay ANY medical costs and give permission for my child to be treated if I cannot be reached.

    Parent/Guardian Signature: Date:

    Please list all allergies and medical/mental conditions below.
    This information MUST accompany this registration form.

    Riding Background

    How did you hear about us?

    Have you previously attended a Kraus Farms Summer Camp?
    YesNo If yes, most recent year?

    How many hours have you ridden?
    01-1011-2020+

    Riding Preference:
    EnglishWesternUnknown

     

    ACKNOWLEDGEMENT OF MISSOURI STATUTES

    WARNING: Under Missouri law, an equine activity sponsor, an equine professional, a livestock activity sponsor, a livestock owner, a livestock facility, a livestock auction market, or any employee thereof is not liable for an injury to or the death of a participant in equine or livestock activities resulting from the inherent risks of equine or livestock activities pursuant to the Revised Statutes of Missouri.

     

    RIDING INSTRUCTION AGREEMENT AND LIABILITY RELEASE

    By this agreement, made and entered this day of by and between
    , who resides at , hereinafter referred to as "I”, and KRAUS FARMS, INC. located at 333 Hillsboro Rd., High Ridge, MO 63049, hereinafter referred to as "THIS STABLE".

    IT IS HEREBY AGREED TO AS FOLLOWS:

    2. That in the last two years student has ridden horses (select appropriate riding experience time and write student's name):
    Less than 10 hours10 to 20 hours20 hours or more
    Student’s Name:


    Name of insurance company is:
    Policy number is:

    FULL NAME(s) OF STUDENT RIDER(s) IF UNDER AGE OR GUARDIANSHIP.
    1. AGE:
    2. AGE:
    3. AGE:
    4. AGE:

    List here the details of any allergies, ailments or handicap a student may have, and of which THIS STABLE should be aware: (required)

    By signing below you:

    • Consent to receiving electronic communications from us.
    • Agree that electronic communications have the same effect as if provided to you on paper.
    • Agree that your electronic signature (via filling in your name below) in connection with agreements and other communications has the same effect as an ink signature.
    • Confirm that you are authorized to provide this consent on behalf of yourself and your minor.

    STUDENT SIGNATURE:
    DATE:

    FULL ADDRESS:

    HOME PHONE: OTHER PHONE:

    CONTACT EMAIL:

    Parent/Legal Guardian signature required for all assistants under the age of 18.
    PARENT/GUARDIAN SIGNATURE: