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Pony Club Summer Camp

Please fill in this with your child, to help us run the best camp we can for them

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1

Name of member attending camp

2

age in July 2025

3

What are you most looking forward to about camp?

4

Is there anything about camp that you are feeling anxious about?

5

You'll be doing all of these at camp - but which is your favourite?

6

What is your experience at Cross Country? State if you've ridden in an open field (on current horse), if previously been xc training/competing and what height you are confident jumping.

7

If you could choose an evening activity for camp what would it be?

8

would you prefer to sleep in a tent, or for an extra £10 a night would you prefer a camp bed in a teepee, if one is available?

Select one or more answers
9

Do you have a tent you could bring? If so how many does it sleep? (put zero if you can't bring a tent)

Use digits only
10

If you could choose 2 other campers to share a tent with, do you know who you would choose? (we will try and put you with at least one of your choices, though we can't guarentee it)

11

Do you have any food allergies? Is there anything you really don't like eating or are fussy about?

If yes, please let us know details
12

Are you vegetarian?

Select one answer
13

what is your horses name? (stable name, not passport name)

14

horses age and height in hh

15

Any important information regarding management of horse. Please include if they kick, bite, dislikes, special requirements etc

16

straw is provided free for bedding, would you be happy with this or would you want to pay extra for shavings?

Select one or more answers
17

what does your horse get fed? Please include hard food and any medication

18

Hay is provided free. Will you need to soak your hay? Would you prefer to pay extra for haylage?

Select one or more answers
19

Horses can be stabled the night before camp starts for an extra £20, would you want this option? Please note there is no supervision for campers so if you are under 18 you can only stay on site if a parent stays with you. IF you want to arrive the morning of camp but have a long journey so would need to be in a later ride, please select that option

Select one or more answers
20

THIS SECTION IS TO BE FILLED IN BY PARENTS PLEASE Emergency contact details, including name, relationship to camper, phone number and address

21

Second Emergency Contact details

22

Campers General Practitioner Details Include Name of surgery, Number, Address and Name of Doctor

23

Does your child have a medical condition we should know about? If so please tell us, and give us details of any medication they need to take

24

are there any injuries, operations or medical treatments we should be aware of?

25

has your child received all their immunisations including tetanus?

if no, please give us details of what they have missed
26

Does your child have any additional support needs, or is there anything else you think it would be helpful to us to know about your child, in order to help them have a good experience at camp?

27

Do you consent to your child being given up to two doses of paracetamol, if the first aider thinks they need it?

Select one or more answers
28

In the event of my daughter / son requiring emergency medical or dental treatment whilst taking part in the Pony Club activity as described above, and an Officer or other responsible adult being unable to contact either myself or other person with a parental responsibility for my daughter / son, I hereby authorise the District Commissioner / Centre Proprietor or other Official of the Pony Club to obtain such medical or dental treatment for my child as they, in their absolute discretion, think necessary after consultation with a medical or dental practitioner. This authority extends to all medical and dental treatment including the giving of an anaesthetic where necessary

Select one or more answers
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