March Break Camp Registration 2023

Daisy Meadows Equestrian Academy

March Break Camp

Our camps are available for children ages 5 to 12. This is a structured program designed to build strong skills in riding, horsemanship and stable management.

The goal is not only to teach horseback riding in a fun-filled environment and the importance of safety when working with horses but also respect, responsibility and care towards fellow riders and horses.

The information collected in this form will be used for internal records and scheduling ONLY. We will NOT distribute this information to any third parties.

Payment: Payment is due by February 14, 2023. Payment can be made only by etransfer to:

payments@daisymeadowsequestrian.com

Cost is $450 for one full week plus HST. Please do not send payment until you receive your invoice!

HOURS: DROP OFF NO EARLIER THAN 9AM AND PICK UP NO LATER THAN 4PM

Extended Care - $75 per week + HST Before Care 8am – 9am only and after care 4pm-5pm only

What Campers Need to Bring:

Attire: It is important that campers have appropriate attire for riding. This includes close fitting pants or jeans, tough boots that cover the ankle with at least a ½” heel, (such as rain boots) and thin gloves (such as garden gloves) Riders can bring their own ASTM certified helmet or rent one from MJM for a cost of $10 for the week. ALL riders will be required to wear a helmet when riding or working around horses. Wearing riding attire such as breeches, paddock boots and half chaps is also encouraged. Any camper that does not come to camp with riding attire will not be permitted to ride as it is a safety concern. Please dress your children warmly in many layers as it can be cold! We also recommend purchasing hand and toe warmers such as "Little Hotties" brand.

Our camps run all year round in different types of weather so please also dress your child appropriately for the weather with lots of layers when needed. In the summer months a change of clothing for water games or shorts for when not riding horses is recommended. In the winter months dress warmly in lots of layers!!

Food: Please pack a peanut free lunch, snacks and lots of water. Our facility is in a rural area on a well system and our water is non-potable. Please pack all the food and water your child will require for the day. We have a Tuck Shop that sells treats and drinks for $1-$2, campers can bring cash to purchase. Friday is our pizza party, lunch with a drink and treat is provided.

Location: The Academy is located at 6095 Dickenson Rd Eeast, Hamilton, Ontario. However the entrance to the riding school is off Nebo Road. It is the second entrance on the right if you are heading south on Nebo, past Dickenson. The barn is immediately on the right hand side as you drive in, and you'll see a sign for the riding school. If you get lost just ask anyone for the riding school.

CONTACT

Email camps@daisymeadowsequestrian.com with any additional questions

Visit our website for more information: https://daisymeadowsequestrian.com/march-break-camp/

Participant Information

First Name *

Last Name *

Gender

Age *

What riding experience does the Camper have? *

Can we thank someone for your referral?

Household / Adult Primary Contact

Relationship to Participant: *

First Name *

Last Name *

Phone *

Alternate Phone

Email Address *

Week Selection

For March Break Camp, campers must sign up for the full week, we are unable to offer individual days at this time.

March Break Camp 2023 *

March Break Camp Monday March 13th - Friday March 17th (7 remaining)

Helmet Selection

All riders are required to wear an ASTM SEI Certified Helmet. If you do not own one you can rent one from MJM Riding School. All helmets are quarantined and cleaned between rentals

Do you require a helmet rental from MJM? *

Yes, I need to rent a helmet. Helmet rentals are for the entire week of camp and cost $10

No, I have my own ASTM SEI certified helmet (*please note Decathlon helmets are NOT certified and cannot be used)

Before and After Care

Before/After Care:

Before Care 8:00 am Drop off

After Care 5:00 pm Pick up

Grand Total (Including HST)

HST *

Current Total (payment is due in FULL by by e-transfer only by February 14, 2023):

$0.00

Other Important Information

Please detail any disability or medical conditions that may affect the rider's ability to ride. This may include but not be limited to any back problems, any conditions which can affect balance or cause blackouts/loss of consciousness, allergies, anxiety, dislexia, and/or any learning disabilities

Is there anything about the rider we should know that would enhance their experience at DME Academy?

How did you learn about DME Academy March Break Camp? *

WAIVER AND RELEASE OF LIABILITY (Attaching to and forming part of Policy #EA00091)

In consideration of being allowed to participate in equestrian sport of MJM Equestrian Centre, including related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1) The risk of injury from the activities involved in equestrian sport are significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist; and,

2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participations; and,

3) I willingly agree to comply with the rules and customary terms and conductions for participation. If however, I observe an unusual significant hazard during my presence of participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS MJM Equestrian Centre and Daisy Meadows Equestrian, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of the premises, used to conduct the equestrian sport (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss of damage to person or property, WHETHER CAUSE BY THE RELEASEES OR OTHERWISE.

..................................................................................

FOR PARTICIPANTS OF MINORITY AGE (Under Age of 18 at time of Registration):

This certifies that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above, of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in the equestrian sport described above. *

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