Loyal Vaulting and Equestrian Arts

Camper Registration

Name of Child:        Age:

Address:

City:    State: Zip:

Phone:        Email:

Riding Experience:

Dates attending:

July 12-16         July 19-23         July 26-30

Limited space available, payment in full is needed to reserve your space. Please make check payable to Timi Loyal or pay through Paypal on our site.

Need to Bring: Long pants (stretchy), boots, gymnastic or ballet shoes, lunch and plenty to drink. Shorts and sneakers can be brought for non-riding portion of the day but no sandals or open toe shoes allowed.

Allergies if any:

Emergency Contact Info:

Name: Relationship:

Phone: Alt. Phone:

Name: Relationship:

Phone: Alt. Phone:

Authorized to pickup:

Name: Relationship: