Giddy Up Pony Camp

Mail to:

                    Amanda Currie-Poirier

                    Giddy Up Pony Camp

                    148 New Cove Road

                    Orwell Cove, PE

                    Canada, C0A 2E0

Click here for the registration form

Giddy Up Pony Camp

Check one:

Day Camp: _________                  Overnight Camp:_____                        ESL Camp: _____

* $280.00/wk                                     *$500/wk                                                 **$1200.00/wk

Check your preferred camp (make a 1st and 2nd choice in case your 1st choice is unavailable):

Camp 1:_____ July 5 - July 9                          Camp 6: _____ August 9 - 13

Camp 2: _____ July 12 - July 16                    Camp 7: No camp(Old Home Week)

Camp 3: _____ July 19 - 23                            Camp 8: _____ August 23 - 27

Camp 4: _____ July 26 - 30                            Camp 9: _____ August 30 - Sept 3

Camp 5: _____ Aug 2 - 6                                

* Ask about family discounts. 1-888-235-4570 (toll free) 394-1940 or email trouby@hotmail.com

**ESL campers come for the entire seven day week . Fees include tutoring, tours, tickets, entrance fees, meals and airport pick up and drop off.

Please include a $100 non-refundable deposit with each camp registration to hold your place. Make the cheque payable to Amanda Currie-Poirier. Receipts will be given for income tax purposes.

Rider's name:___________________________________________________________________

Age: _______   Date of Birth: _________________     Weight: ____________    Sex:         M          F

Parent/Guardian: ________________________________________________________________

Phone numbers: _________________ (H)    _________________(cell)     ________________ (W)

Address: ______________________________________________________________________

Emergency Contact: _________________________________________  (PH) _______________

Family Doctor (PEI):__________________________________________  (PH) _______________

Allergies:  YES        NO         If YES please identify, give reaction and medicine to be taken: _____________________________________________________________________________

_____________________________________________________________________________

Any other medical conditions:  YES    NO    If YES please comment fully:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Level of riding experience:

   ____ None     _____Beginner     ___ Some experience     ___ Intermediate     ___ Advanced   

Likes and dislikes (example - likes pancakes, dislikes tomatoes, afraid of cats):

_____________________________________________________________________________

_____________________________________________________________________________ 

Additional comments:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

* NOTE: All horses and ponies at Giddy Up Pony Camp are well trained and chosen for their good manners however equestrian activities can have their hazards.

Upon arrival, as parents/guardians you will be required, for insurance purposes, to sign a Waiver of Liability before your child can be admitted to camp. If you are unable to bring your child to camp, yourself, please contact Giddy Up Pony Camp so that a waiver form can be faxed, emailed or snail mailed to you and then returned with your child on the first day of camp.

ESL campers from overseas please contact the camp so that the Waiver of Liability can be emailed or faxed to you. The Waiver of Liability must accompany the ESL camper the first day of camp. Unfortunately, due to insurance restrictions, campers will not be permitted to enter the stables or ride without the Waiver of Liability being signed.