Adult Camp Form - Falling Creek Ranch

Adult Camp Registration

Which camp do you want to come to:

About The Camper

Camper's First Name

Camper's Last Name

Street Address

Suburb

City

Postal Code

Phone number

Email Address *

Camper's Gender

Weight Range

Age

Horse HireI am hiring one of the Falling Creek Ranch horses.Bringing my own horse

Level or experience of rider

If bringing your horse please note it must be fit, must be able to ride up and down hills on farm tracks, ride in uncontained areas. ~ Please bring your own tape and standards to make separate grazing if you want your horse separate from the “campers herd”.

AccommodationI require a room (Depending on numbers you may have to share a room)I will be staying in my own tent/horse float or truck ($30 less per person)

I would like to be in the same room as (if applicable) :

Emergency Contact - (someone other than yourself)

Emergency Contact First Name

Emergency Contact Last Name

Emergency contact Home Ph.

Emergency contact Mobile Ph.

Any special needs/dietary requirements/allergies/medical issues/ behaviour issues, or anything else we need to be aware of:

Payment Terms of Falling Creek Ranch (trading as Southern Sky Farms Limited 03 1750 0491085 000)

Full camp payment is required to secure your place.

Payment by: PLEASE put a reference of the camp date and campers name PLEASE CHECK YOUR EMAIL FOR CONFIRMATION, GEAR LIST AND ALL THE DETAILS)Bank DepositInternet BankingThis camp is already paid forSouthern Sky Farms Ltd 03 1750 0491085 000

Please read the Terms and Conditions

Terms and Conditions