FLEET EQUESTRIAN CENTER

EQUESTRIAN CAMP APPLICATION 2011

NAME______________________________________ DOB________ AGE_______

MAILING ADDRESS___________________________________________________

                STREET                              CITY                STATE      ZIP            

PARENT____________________________PHONE___________CELL___________

PARENT____________________________PHONE___________CELL___________

Email(s) _______________________________________________________

EMERGENCY CONTACT: IN CASE PARENTS CANNOT BE REACHED

NAME_____________________________PHONE___________CELL____________

In the left column, please indicate your preference of sessions by listing your 1^st, 2^nd, 3^rd, etc. choice(s) .

As sessions fill, you may not get your 1st choice for camp.  Please indicate only sessions you can attend.

If you wish to come for multiple weeks, indicate weeks in the column to the left of dates.

ALL CAMP DAYS 8am-2pm.  Overnight wks: 8am Thurs-2pm Fri wks denoted by **(two stars). Intermediate+

Horse show ONLY on Thurs 9am on week long camps.         Mini Camps are 3 days long (no horse show)

Beginner spots may not be available in all weeks, please ask if you are interested.

Indicate Riding Experience  - Please choose the level that describes you best.

Information about levels is on the following page of this application.

 ___BEGINNER          ___ADVANCED BEGINNER       ___INTERMEDIATE I 

 ___INTERMEDIATE II     ___INTERMEDIATE III        ___ ADVANCED

Please indicate your __  years of experience __rides per week __per month __summer only __school year__ both.

Who is your instructor and/or barn ?    ____________________________

Can you walk & trot comfortably? __yes __no  Can you canter in the ring? __yes __no   On the trail? __yes __no        Do you like calm horses? __yes __no   Do you like horse that are a challenge? __yes __no

Would you be afraid if a horse might __rear   __buck   __spook  __get hyper  __not afraid

Can you post? __yes __no   Can you jump a horse?  __yes __no  How high? __6”   __1’   __18”   __2’  __2’6”  __3’

Other information about your riding skills.  ____________________________________________________

 While precaution will be taken to ensure the safety of riders/observers/participants, accidents cannot  be prevented due to the inherent nature of this activity.   This release pertains to Fleet Equestrian Center, LLC in Edgemoor, SC.  By signing this release, you hold harmless, Margaret Fleet,  Bryan Fleet, and any other associates/assistants, in understanding the nature and risk of the equine sport. “UNDER SOUTH CAROLIN LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR THE INJURY TO OR THE DEATH OF A PARTICIPANT IN AN EQUINE ACTIVITY RESULTING FROM THE INHERENT RISK OF EQUINE ACTIVITY, PURSUANT TO ARTICLE 7, CHAPTER 9 OF TITLE 47, CODE OF LAWS OF SOUTH CAROLINA.”

 ______________________________________________                                _________________

                           Signature                                                                                                 Date

This camp is for Regular Education Girls and Boys ages 8 -17+/-.  This camp is not appropriate for MOST participants of  If Wishes Were Hoses, Inc and/or MOST Exceptional Children.   Space is very limited.  5-9 riders per week.  Placement is limited by horse availability and their level of difficulty.

Our easy horses make advanced riders being with beginner riders, no problem! 

Sessions will contain both english and western riding disciplines, and different riding levels, which will combine and separate as needed.  Activities will include grooming, saddling, riding  (on average 2 hours daily) horse care, horse theory, barn care, and daily crafts.  The camp is run by Margaret Fleet & helpers.  

Registration: Applications will be accepted immediately.  Applications may be mailed to:

Margaret Fleet  at Fleet Equestrian Center, LLC

2142 Hicklin Bridge Rd. Edgemoor, SC 29712

Or you may drop your application of to the above location by calling 803 328 9878 or 803 517 4563.

Confirmation: Will be sent by EMAIL or in the mail once your spot(s) in camp has been assigned.  It will tell you when your payment is due, which will be two weeks before your camp date in most cases.

Payments: PLEASE make any checks payable to MARGARET FLEET.

DEPOSIT: Please send a $50 deposit along with your application per application/rider.  The remainder of your camp fee(s) will be due two weeks prior to your camp date(s).  

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Cancellations: The camp deposit will not be refunded except for in the case of extenuating circumstances.  Remaining fee(s) paid will be refunded if cancellation is made two weeks prior to date of camp.  If cancellation occurs less than two weeks prior to date of camp, no refund will be issued.

Arrival and Departure time: Riders should be at camp at 8:00 am and picked up by 2:00 pm. 

*Late departure may be available upon request – make sure to clear departure times before hand.

What to bring and wear: Bring a bagged lunch each day.  Snacks and extra drinks will be provided.

Wear long pants and protective shoes for riding (closed toes.)  Boots are the best protection; tennis shoes are acceptable.  Bring a change of clothes for after riding time (shorts, flip-flops, etc).  Bring your riding helmet if you own one.  Any other items needed will be listed in your conformation letter or notices sent home with campers during camp.  Bring a WATER BOTTLE every day!

Overnight Wk 2 & Wk 6 only: Thurs 8:00am – Friday2:00pm.  Bring a bagged lunch for Thursday.  Dinner, breakfast, and lunch provided for overnight.  Microwave and Refrigerator available for riders.

Horse show: Starts at 9am on Thurs of 4 and 5 day weeks. Parents/guests may stay and watch.

Description Of Levels.  Your level is determined by the description that fits your ability in general.

Beginner- A rider with little or no experience in regards to the care, handling, and riding of horses.

Advanced Beginner – Riders have had a handful of lessons and some experience around a horse.  They know how to steer at the walk and are beginning trot work.  They also know some about grooming/saddling.

Intermediate I – Riders may have ridden for 3 - 6 months up to 2 year consistently.  Can comfortably control/steer a horse at the walk and trot (Sitting and Posting).  Know how to groom and saddle a horse, with some help.  These riders may not be ready to handle a challenging horse. Some cantering experience.

Intermediate II – Riders may have ridden for 6mos - 4 years.  Riders can easily control a horse at the walk and trot and have begun to canter comfortably.  They need very little help with grooming and saddling their horse.  They have begun to ride more challenging horses, such as stubborn horses, or faster horses.  They are proficient at steering horses in any task.

Intermediate III -  Riders in this level have ridden for 2-5 years.   They can easily control their horse at the walk, trot, and canter.  They can handle more difficult horses and challenging situations without getting upset or scared.  They can easily maneuver through arena patterns at the trot and have begun to work on patterns at the canter.   In english may jump up to 2 ½ feet.  They begin to understand more advanced concepts of steering, training, and working with horses.

Advanced – An expert at handling horses.  Rider has had several years of general riding experience and/ or riding lessons.  Very proficient in their area of riding.  This rider can handle young, spirited or difficult horses and is learning or knows advanced horse training concepts.  This rider can handle hard, scary, difficult situations with horses.  In english may jump 2 ½ feet or higher and wide variety of jump types.

Insurance information

Insurance is the responsibility of the parent.  Name of Participant__________________________________

I the undersigned,  ___parent ___legal guardian, certify that the named participant, above, is covered by an insurance program which will adequately compensate for injuries incurred while participating in the activities sponsored by Fleet Equestrian Center, LLC.

I also do release Fleet Equestrian Center, its directors, officers, employees, agents, or volunteers, from all liability related to loss or damage to personal property or bodily injury, while traveling to/from sponsored events, or while on properties owned by FEC, LLC and neighboring properties.

Health Insurance Company __________________________________           Policy # _________________

Signature ___________________________________________       Date _____________________

Medical Information

Child’s Name_____________________________________  Child’s Doctor __________________________________

Doctor’s Address _________________________________________________________________________________

Is your child on medication ______ Explain  ___________________________________________________________

________________________________________________________________________

Allergies or conditions staff should be aware of  __________________________________________

________________________________________________________________________

How does it affect your child? _____________________________________________________

Does your child have asthma or exercised induced asthma? __yes   ___no          ___exercise induced ?

 If parent or guardian is not available notify (Including or in addition to emergency contact):

Name ____________________________________ Phone #s ______________________

Name ____________________________________ Phone #s ______________________

EMERGENY MEDICAL TRANSPORTATION AND TREATMENT AUTHORIZATION

In the event that my child is injured or becomes ill or needs medical attention for any reason, and I cannot be contacted, this authorization will serve as my/our request and authority for Fleet Equestrian Center staff to call and seek medical assistance for my child.  I understand that my child will be taken to Piedmont East Urgent Care Center or Riverview Medical Center, both in Rock Hill, SC off of I- 77.  I understand that I will be responsible for all costs incurred in any such medical emergency.

_________________________________________                                __________________________

  Signature of parent/ guardian                                                                                                          Date

PHOTOGRAPHIC IMAGE DISCLAIMER

Fleet Equestrian Center Summer Camp 2011

In order for FEC to display photographs of individuals on the fleetequestraincenter.com

Website and printed media, you the parent must give written consent to the company.

If you do consent to have your child’s image displayed on the company’s website or printed media, please read the disclaimer below and sign.

I, _____________________________________, the parent/guardian of  ____________________________

do hereby give permission for my child’s image and name to be used in publications such as company websites and printed media, such as brochures and advertisements.

___________________________________________                                 _________________________

   Signature of parent/ guardian                                                                                                         Date

Please Call or Email with Any Questions 803 5174563 adaar54@hotmail.com