Magik Morn
761 Fleetwood Road
Janetville, Ontario       L0B 1K0
(705) 277-1498 		       
     
  Registration Form    
     
Name         AGE and DOB      
   
Address                
   
Dads Name         Contact Number Home    
  work    
   
Mothers Name        Contact Number Home    
      Work    
   
Week requested       2nd week      
   
2nd choice if not available            
   
Please answer the following Questions    
   
Does Your Child have any allergies or Special Medical Concerns we need to know about  
                 
                 
Can Your Child have      
Tylenol   yes    no   Arnica (Herbal pain med) yes   no      
Allergy Med    yes     no   Gravol      yes   no    
Advil                 yes     no Other Medication        
         
Are you sending any medication to camp with your child        
                 
Doctors Name and Phone Number        
                 
Ohip Number and Version Code if Any          
                 
Does Your Child have their own approved helmet YES      NO   BOOTS YES      NO   
Have You Read , signed and attached the waiver form YES      NO   
           
Cost Per Week is $450 plus GST $31.50= 481.50      
Weekend Rate is 180 plus GST $12.60 =$192.60    
  Helmet  Rental Per week $10  =      
   
    weeks @ 481.50      
   
  Weekends @ 192.60      
  TOTAL          
  less deposit      
  outstanding balance      
   
Deposit of 100 per week minimum with balance **DUE 2 weeks prior to arrival***    
Balance  MUST  be received 2 weeks before arrival to gaurantee spot    
Please Forward Check or Money Order Payable to Magik Morn at the above address.   
Please have the youth attending camp fill this out information    
   
Please Describe Your current riding activities    
   
   
Do you take regular lessons or have a regular coach    
   
   
   
Where are you riding currently and how often    
   
   
Have you ever shown and at what level and discipline    
   
   
Do you have goals for your riding,  what areas would you like to improve on or try    
   
   
What foods do you like to eat    
   
   
   
   
What foods don't you like to eat    
   
   
   
   
Is there any thing else you want to tell me about your self    
   
Hosted by www.Geocities.ws

1