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Coyote Ridge Riding Centre
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| COYOTE RIDGE RIDING CENTRE 24780 Carroll Line West Lorne, Ontario NOL 2P0 Owner/Operator -Patricia Kell ~( 519) 768-2100 Dear Parents: Thank you for your interest in our day camp program. Attached are the forms and information which will assist you in signing up your child. Registration is on a first come, first serve basis, with some of our spots already spoken for. The cost for our camp is $250.00 per child, or $200.00 if more than one child from your family attends. A cheque in the amount of $50.00 must accompany the registration form and is non- refundable, with the balance being paid no later than one week prior to the camp session you have chosen. You may attach a post-dated cheque along with your initial remittance. Don‘t wait long as only 12 children per week are being accepted. We want to provide your child with an enjoyable and memorable experience, and I hope you will find most of your questions answered in the attached information, but should you require further assistance or have other concerns, please do not hesitate to call me. Yours truly, Patricia Kell Coyote Ridge Riding Centre |
COYOTE RIDGE RIDING CENTRE
Curriculum
Our camp will focus on equine-related activities which will include English and Western riding, handling, feeding, stall
cleaning, grooming, tack cleaning, and show preparation.
In addition, we will be offering a daily or weekly craft session depending on the age of your child, plus nature hikes
to develop your child’s understanding of local wildlife, plants, insects and birds.
The last day of camp, being Friday, we would like to have the children participate in a small horse show for their
families in order to put some of their newly acquired skills in action. We will be hosting a family campfire on this
evening as well.
Things to know:
Our camp hours are 9:00 a.m. to 4:00p.m, but children may be dropped off as early as 8:00 a.m. and picked up no
later than 5:00p.m. Please be advised that an additional charge of $10.00 for every 15 minutes after
5:00p.m. will apply so that lessons scheduled for the evening hours can proceed as scheduled; however, we would
appreciate your adherence to camp hours if possible.
Lunch is not provided; however, we will be providing campers with nutritious snacks and drinks twice daily.
Please provide your child with lunch (no nut or nut products in lunches), as well as a hat and sunblock for outdoor
activities.
Approved riding helmets can be provided at a minimal cost of $5.00, although we recommend you provide your own.
It is best to have your child bring or wear long pants, such as jeans, and also a boot or shoe with a 1/2
inch heel for riding activities. You may send along runners and shorts for other activities.
Curriculum
Our camp will focus on equine-related activities which will include English and Western riding, handling, feeding, stall
cleaning, grooming, tack cleaning, and show preparation.
In addition, we will be offering a daily or weekly craft session depending on the age of your child, plus nature hikes
to develop your child’s understanding of local wildlife, plants, insects and birds.
The last day of camp, being Friday, we would like to have the children participate in a small horse show for their
families in order to put some of their newly acquired skills in action. We will be hosting a family campfire on this
evening as well.
Things to know:
Our camp hours are 9:00 a.m. to 4:00p.m, but children may be dropped off as early as 8:00 a.m. and picked up no
later than 5:00p.m. Please be advised that an additional charge of $10.00 for every 15 minutes after
5:00p.m. will apply so that lessons scheduled for the evening hours can proceed as scheduled; however, we would
appreciate your adherence to camp hours if possible.
Lunch is not provided; however, we will be providing campers with nutritious snacks and drinks twice daily.
Please provide your child with lunch (no nut or nut products in lunches), as well as a hat and sunblock for outdoor
activities.
Approved riding helmets can be provided at a minimal cost of $5.00, although we recommend you provide your own.
It is best to have your child bring or wear long pants, such as jeans, and also a boot or shoe with a 1/2
inch heel for riding activities. You may send along runners and shorts for other activities.
| Just print the sections you need to return |
COYOTE RIDGE RIDING CENTRE
PAYMENT AND REGISTRATION INFORMATION
Program Fees: $250.00 per week -
$200.00 per week if more than one child per family enrolled.
**Financial subsidies may be available to eligible participants, please inquire at time of registration.
• Payment can be made by cash or by cheque payable to Patricia Kell;
• Deposit of $50.00 is required at time of registration (non-refundable) with the balance to be paid no later than 2 weeks prior to
the session your child is registered for;
• Refunds are available up to 2 weeks before the start of the session the child is registered for. Initial $50.00 deposit excepted;
• A $25.00 charge will apply to all NSF cheques;
• Children may be dropped off after 8:00 a.m. and picked up no later than 5:00p.m. (late pick-up charge of $10.00/15min. will apply);
• If your child is going to be absent please call us at 519-768-2100
I, the undersigned hereby agree to the above-mentioned polices and agree to pay the fees as outlined herein.
__________________________________
Signature of Parent/Guardian
Date _______________________
PAYMENT AND REGISTRATION INFORMATION
Program Fees: $250.00 per week -
$200.00 per week if more than one child per family enrolled.
**Financial subsidies may be available to eligible participants, please inquire at time of registration.
• Payment can be made by cash or by cheque payable to Patricia Kell;
• Deposit of $50.00 is required at time of registration (non-refundable) with the balance to be paid no later than 2 weeks prior to
the session your child is registered for;
• Refunds are available up to 2 weeks before the start of the session the child is registered for. Initial $50.00 deposit excepted;
• A $25.00 charge will apply to all NSF cheques;
• Children may be dropped off after 8:00 a.m. and picked up no later than 5:00p.m. (late pick-up charge of $10.00/15min. will apply);
• If your child is going to be absent please call us at 519-768-2100
I, the undersigned hereby agree to the above-mentioned polices and agree to pay the fees as outlined herein.
__________________________________
Signature of Parent/Guardian
Date _______________________
COYOTE RIDGE RIDING CENTRE
Registration Form
SUMMER DAY CAMP PROGRAM - 2008
Session ~ July 14 -18 (Ages 6-9)
July 28 - Aug1 (Ages 9-12)
Childs information:
First Name:_______________________________ Last Name: _________________________________
Address:______________________________________________________________________________
Birth Date: ____________________ Health Card #:_________________________________________
Special Health Requirements: _____________________________________________________________
_____________________________________________________________
My child has been Immunized in accordance with the Education Act: (Date:)______________________
My child requires being picked up by an authorized adult. Yes______ No______
Names of siblings If being registered: - ______________________________________________________
Family Information:
Mother's/Guardian's Name:_____________________________________________________________
Emergency Contact? Yes_______No_______ Authorized to pick up Child? Yes_______No_________
Mother's Address: Address: ________________________________________________________
Home Phone #: ______________________ Work Phone #: ______________________________
Father's/Guardian's Name:_____________________________________________________________
Emergency Contact? Yes_______ No________ Authorized to pick up Child? Yes______No_________
Father's Address: Address: ________________________________________________________
Home Phone #: _______________________ Work Phone #: _______________________________
Emergency Contacts if no the parents :
Family Doctor: _______________________________ Name Authorized Pickup:________________________
Name: Contact I:__________________________ Phone Authorized Pickup:_______________________
Name: Contact 2:__________________________
Name: Contact 3:__________________________
Registration Form
SUMMER DAY CAMP PROGRAM - 2008
Session ~ July 14 -18 (Ages 6-9)
July 28 - Aug1 (Ages 9-12)
Childs information:
First Name:_______________________________ Last Name: _________________________________
Address:______________________________________________________________________________
Birth Date: ____________________ Health Card #:_________________________________________
Special Health Requirements: _____________________________________________________________
_____________________________________________________________
My child has been Immunized in accordance with the Education Act: (Date:)______________________
My child requires being picked up by an authorized adult. Yes______ No______
Names of siblings If being registered: - ______________________________________________________
Family Information:
Mother's/Guardian's Name:_____________________________________________________________
Emergency Contact? Yes_______No_______ Authorized to pick up Child? Yes_______No_________
Mother's Address: Address: ________________________________________________________
Home Phone #: ______________________ Work Phone #: ______________________________
Father's/Guardian's Name:_____________________________________________________________
Emergency Contact? Yes_______ No________ Authorized to pick up Child? Yes______No_________
Father's Address: Address: ________________________________________________________
Home Phone #: _______________________ Work Phone #: _______________________________
Emergency Contacts if no the parents :
Family Doctor: _______________________________ Name Authorized Pickup:________________________
Name: Contact I:__________________________ Phone Authorized Pickup:_______________________
Name: Contact 2:__________________________
Name: Contact 3:__________________________
AUTHORIZATION TO OBTAIN
MEDICAL TREATMENT FOR MINOR CHILD
WITNESS THIS AGREEMENT AND AUTHORIZATION by and between Coyote Ridge Riding Centre and Owner/Operator Patricia Kell,
hereinafter referred to as “Stable Owner/Operator,” and ________________________________, hereinafter referred to as “Parent.”
Stable Owner/Operator is hereby authorized to obtain any and all medical treatment Stable deems reasonably necessary for my minor
child and/or children.
Parent or guardian agrees to bear any cost connected therewith and shall pay promptly upon billing by the health care provider. Stable
shall incur no financial liability for medical treatment obtained pursuant to this authorization.
Name(s) of child(ren)
1. ________________________________________________________
2. ________________________________________________________
3. ________________________________________________________
Health Insurance Carrier: __________________
Plan or Identification No.: ________________
Primary Healthcare Provider: _________________
Signature of Parent/Guardian :____________________________________________________
DATED: __________________________ 2008
Release of Liability
Parent I Minor
WITNESS THIS AGREEMENT this _______ day of ______________, in the year 2008 by and between PATRICIA KELL , hereinafter
referred to as MANAGER and ____________________________________________, hereinafter referred to as RIDER, and, if Rider
is a minor, Rider’s parent or guardian, ________________________________________ for consideration received, and in return for
the use, today and on all future dates of the property, facilities and services of Manager, Manager’s instructors, employees and agents;
Rider, Rider’s heirs, assigns, and representatives, hereby agree as follows:
1. INHERENT RISKS AND ASSUMPTION OF RISK. The undersigned acknowledges there are inherent risks associated with
equine activities such as described below, and hereby expressly assumes all risks associated with participating in
such activities. The inherent risks include, but are not limited to the propensity of equines to behave in ways such as, running,
bucking, biting, kicking, shying, stumbling, rearing, falling or stepping on, that may result in an injury, harm or death to persons on or
around them; the unpredictability of equine’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or
other animals; certain hazards such as surface and subsurface conditions; collisions with other animals; the limited availability of
emergency medical care; arid the potential of a participant to act in a negligent manner that may contribute to injury to the participant or
others, such as failing to maintain control over the animal or not acting within such participant’s ability.
2. Rider acknowledges that horses, by their very nature are unpredictable and subject to animal whim, which may include behavior
including but not limited to their propensity to kick, bite, shy, buck, stumble, bolt, rear or general unpredictability. Rider assumes all
risks in connection therewith, and expressly waives any claims for any injury or loss arising therefrom. Rider agrees to abide by and
follow Manager’s rules and regulations, which shall be posted and/or available from time to time. Rider further acknowledges that the
behavior of any animal is contingent to some extent upon the ability of Rider. Rider assumes all risks therefor and warrants a full and
fair disclosure of Rider’s abilities has been made to Manager.
3. RIDER (OR RIDER’S PARENT OR GUARDIAN) AGREES TO HOLD HARMLESS, INDEMNIFY AND DEFEND MANAGER
AGAINST ANY AND ALL CLAIMS, DEMANDS, CAUSES OF ACTION, DAMAGES, JUDGMENTS, ORDERS, COSTS OR EXPENSES,
INCLUDING ATTORNEY’S FEES, WHICH MAY IN ANY WAY ARISE FROM OR BE IN ANYWAY CONNECTED WITH RIDER’S USE OF OR
PRESENCE UPON THE PROPERTY OF MANAGER AND THE FACILITIES LOCATED THEREON. In the event that rider is a minor, the
parent or guardian shall further indemnify, defend and hold Manager harmless from any such claims by said minor child,
regardless of any statute of limitations or contractual limitation of actions.
4. IN THE EVENT that Rider is using Rider’s own horse, or a horse(s) not owned by Manager, Rider warrants said horse(s) shall be
free from infection, contagious or transmittable diseases. Manager reserves the right to refuse access or use of any horse upon the
premises that does not appear to Manager to be in good health, or is deemed to be dangerous or undesirable.
_____________________________
Signature of RIDER
_____________________________
Signature of PARENT OR GUARDIAN
_____________________________
Signature of MANAGER
Parent I Minor
WITNESS THIS AGREEMENT this _______ day of ______________, in the year 2008 by and between PATRICIA KELL , hereinafter
referred to as MANAGER and ____________________________________________, hereinafter referred to as RIDER, and, if Rider
is a minor, Rider’s parent or guardian, ________________________________________ for consideration received, and in return for
the use, today and on all future dates of the property, facilities and services of Manager, Manager’s instructors, employees and agents;
Rider, Rider’s heirs, assigns, and representatives, hereby agree as follows:
1. INHERENT RISKS AND ASSUMPTION OF RISK. The undersigned acknowledges there are inherent risks associated with
equine activities such as described below, and hereby expressly assumes all risks associated with participating in
such activities. The inherent risks include, but are not limited to the propensity of equines to behave in ways such as, running,
bucking, biting, kicking, shying, stumbling, rearing, falling or stepping on, that may result in an injury, harm or death to persons on or
around them; the unpredictability of equine’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or
other animals; certain hazards such as surface and subsurface conditions; collisions with other animals; the limited availability of
emergency medical care; arid the potential of a participant to act in a negligent manner that may contribute to injury to the participant or
others, such as failing to maintain control over the animal or not acting within such participant’s ability.
2. Rider acknowledges that horses, by their very nature are unpredictable and subject to animal whim, which may include behavior
including but not limited to their propensity to kick, bite, shy, buck, stumble, bolt, rear or general unpredictability. Rider assumes all
risks in connection therewith, and expressly waives any claims for any injury or loss arising therefrom. Rider agrees to abide by and
follow Manager’s rules and regulations, which shall be posted and/or available from time to time. Rider further acknowledges that the
behavior of any animal is contingent to some extent upon the ability of Rider. Rider assumes all risks therefor and warrants a full and
fair disclosure of Rider’s abilities has been made to Manager.
3. RIDER (OR RIDER’S PARENT OR GUARDIAN) AGREES TO HOLD HARMLESS, INDEMNIFY AND DEFEND MANAGER
AGAINST ANY AND ALL CLAIMS, DEMANDS, CAUSES OF ACTION, DAMAGES, JUDGMENTS, ORDERS, COSTS OR EXPENSES,
INCLUDING ATTORNEY’S FEES, WHICH MAY IN ANY WAY ARISE FROM OR BE IN ANYWAY CONNECTED WITH RIDER’S USE OF OR
PRESENCE UPON THE PROPERTY OF MANAGER AND THE FACILITIES LOCATED THEREON. In the event that rider is a minor, the
parent or guardian shall further indemnify, defend and hold Manager harmless from any such claims by said minor child,
regardless of any statute of limitations or contractual limitation of actions.
4. IN THE EVENT that Rider is using Rider’s own horse, or a horse(s) not owned by Manager, Rider warrants said horse(s) shall be
free from infection, contagious or transmittable diseases. Manager reserves the right to refuse access or use of any horse upon the
premises that does not appear to Manager to be in good health, or is deemed to be dangerous or undesirable.
_____________________________
Signature of RIDER
_____________________________
Signature of PARENT OR GUARDIAN
_____________________________
Signature of MANAGER