Cowboy Church’s Horse Camp Permission Form

Dear Parent or Guardian,

We are organizing a horse camp for students ages 9-13 (3rd-7th Grade) and would like to invite your child to join us.

Information:

Date: October 8, 2022 from 9am-1pm

Location: Thank God First Ranch on 1585 M-79, Hastings, MI 49058

Purpose: Learning about horses, how to take care of them and ride a horse

Cost: FREE

Lunch will be included at no cost. You must sign-up by October 5, 2022.
Student information: Student information: * First Last
Date of Birth Date of Birth * / MM / DD YYYY
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
School district, grade and teacher: *
Phone number to contact: Phone number to contact: * - ### - ### ####
I give my permission for (Name Below) to receive emergency medical treatment. I give my permission for (Name Below) to receive emergency medical treatment. * First Last
In an emergency, please contact: In an emergency, please contact: * First Last
Phone Phone * - ### - ### ####
Draw your parent signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date * / MM / DD YYYY