Phone

Barn - (317) 416-8632
Texting and Calls
Physical Address:
5129 N 600 W
(aka Mt Comfort Rd/Olio Rd)
McCordsville Indiana 46055
Lessons - Stacey Sheley
(317) 416-8632
Lessons - Lindsey Keeven
(317) 418-8933
Camp Director - Andi
(219) 296-8776
Please call between regular business hours.

Donate via PayPal

Thoughts

Summer Camp Registration 2015

Please call the barn 317-416-8632 to set up a time to meet the horses, the people and view the facility in person. Please copy/paste the form below and bring it with you. If you have any other questions regarding our Summer Riding Camps please call our Camp Director Bree Deaver at (765) 481-8281

Open Door Equine 2015 Summer Riding Camp

REGISTRATION FORM

Date of Application ____________    Male or Female    Date of Birth _____________________

Child’s Full Name ______________________________________________________________

Age at time of camp ________ School Grade in fall ______________________

Address of Child ___________________________________________________________

City ____________ State _______ Zip __________

Father’s Name _____________________________ Business/Address __________________

Work# ________________________ Home Phone__________________________________

City ____________State ________ Zip ___________

Father’s Driver’s License # __________________________________________________

Mother’s Name _____________________________ Business/Address ____________________ Work # ________________________ Home Phone ___________________________________

City ___________________________ State ________ Zip ____________

Mother’s Driver’s License # _________________________________________________

Please indicate who is picking up and who is dropping off: ______________________________

How did you learn of our camp? ______________________________________________________________________________

In case of emergency notify: (if other than parents)

Name ___________________________ Phone _____________________

Name __________________________ Phone ______________________

Person(s) other than parents authorized to pick up child(ren) Name(s) _____________________________________________________________________________

Is there any information you feel may help us to better understand or serve your child (including physical or emotional difficulties)

______________________________________________________________________________

Does your child have any prior horse experience? If so, please list what experience they have:

______________________________________________________________________________

______________________________________________________________________________

Camp shirt size: Youth S   M   L or Adult S   M

CAMP DESIRED

Please indicate below the week your child would like to attend. Place a “1” for 1st choice or a “2” for 2nd choice in the box to the left of the session you choose. You will be automatically given first choice unless notified.

Multiple camp discount of $50 per camp!

June July August
1st – 4th No camp this week 3rd – 6th
8th – 11th 6th – 9th 10th – 13th
15th – 18th 13th – 16th 17th – 20th
22nd – 25th 20th – 23rd
27th – 30th

There are a limited number of 10 spaces available in each camp

Check, Cash, Credit Card, PayPal, Chase QuickPay are accepted

Physical Address (do not mail to this address): 5129 N 600 W   (aka Mt Comfort Rd/Olio Rd), McCordsville   Indiana 46055

PHOTOGRAPHY WAIVER

ODE will have a professional photographer to take photos at one of our camps this year and there may be parents who take photographs of the children as well as barn staff for purposes of: scrap-booking, advertising – including use in flyers, pamphlets, on the internet, the website and social medias, and record keeping. By signing your name below YOU ARE AGREEING TO ALLOW OPEN DOOR EQUINE TO USE IMAGES OF YOUR CHILD FOR ANY OF THE ABOVE ACTIVITIES.

Parent/Guardian signature granting ODE permission to use images of your child:

_____________________________________________________________________