Parent's and Camper's Agreement
I, as a camper or parent or guardian, understand that the International Riding Camp takes reasonable pecautions to insure that programs and activities at the International Riding Camp are conducted by qualified personnel in a safe and responsible manner. However, I further understand that these activities include certain risks and and include, but are not limited to horseback riding, watersports,landsports, rafting,scuba diving, bicycling and hiking. I, the undersigned, as a camper individually, or as a parent, guardian of a camper, individually, and on behalf of the camper recognize these risks and agree to assume these risks by attending or allowing the camper to attend International Riding Camp and participate in these programs. In consideration of the Intenational Riding Camp allowing me to participate in its activities, I hereby agree that any dispute, controversy, cause of action, lawsuit, or claim arising out of or or relating to my participation in these activities, this agreement, or the breach therof shall be settled by the courts of the State of New York, Ulster County, which shall have exclusive jurisdiction over every party in connection with any such dispute, controversy, cause of action, lawsuit or claim.
      I, as a camper, individually, or as a parent or guardian of a camper, hereby release, discharge, and agree to indemnify International Riding Camp, White Fence Farm, its directors, officers, and employees from all liability for damage, injury, or illness to the camper or her property relating to or deriving from her presence at International Riding Camp, or participation in or travel to or from International Riding Camp activities.
I, as a camper, individually , or as a parent or guardian of a camper, individually, and on behalf of the camper, hereby grant permission for International Riding Camp, the American Camping Association, or photographer to use any photographs of the camper taken during the camp session in newspapers, magazines, brochures, websites, or other media for promotional purposes.

      All campers must have medical insurance to participate in camp activities.

Camper's Signature__________________________________________

Parent's Signature___________________________________________

Payment of Fees
Fees are payable in accordance with the following schedule: Deposit of $950.00 to be sent on day you make your reservation. We will hold your reservation for three days and confirm your reservation, once we receive your deposit. Balance of all fees due by May 1, 2013. Camp fees not paid by May 1, 2013 will incur a 5% late fee on unpaid balance. If a camper's tuition is not paid in full by this date the camper may forfeit her reservation. Reservations made after May 1st will not be charged a late fee but the tuition must be paid in full to confirm your reservation. At this point we still have space available in all sessions.

Wire Transfer:
Please contact us for wire transfer instructions.

Please make your check payable to:
"International Riding Camp" and send it and your downloaded enrollment form to
International Riding Camp
200 Birchall Road
Greenfield Park, NY 12435

Winter Address (November 1 - May 1):
International Riding Camp
9655 W. Maiden Court
Vero Beach, FL32963

I have read and understand the contents of this appication, including the Cancellation Policy, Payment Policy and Parent's and Camper's Agreement.

Please enroll
Date of Birth
Age at Camp
Grade completed as of June 2013
Parents Name
Street
City
State
Zip
Telephone
Email
Person responsible for payment Name
Signature	__________________________________________