Summer Camp Registration

Home Phone(Required)

Camper's Health Card Number(Required)

Age (as of first day of camp)(Required)

Height(Required)

Weight (in LBS or KG - please specifiy)(Required)

Contact Phone Number(Required)

Cell Phone Number

Email Address(Required)

Please provide information regarding Asthma, Medications, Allergies:

Is assistance required for activities of daily living? Example: feeding, lifts and transfers, dressing and toileting. Please explain.

A support worker may need to be provided, and will depend on the individual needs of the camper.

If applicable, please include a brief explanation of your or your child's riding experience. A pre-assessment may be required if WETRA sees fit for safety purposes.

Summer Break Camp Registration

Subtotal

$ 0.00 CAD

Credit Card Fee

Price: $ 0.00 CAD

Total

Credit Card(Required)

Card Details

Cardholder Name

e-Transfer Instructions:

Please send an e-Transfer to accounting@wetra.ca. No security question will be required.

Name

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Summer Camp Registration Form

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