VONTHUN FARMS 2020 SUMMER HORSE CAMP
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VonThun Farms
2020 Summer Horse Camp 35 Kayharts Lane
Washington, NJ 07882
732-986-6816
Cindy@VonThunFarms.com
VonThun Farms welcomes children age 6-16 to the farm this summer to make new friends and
enjoy a fun-filled week of camp! Our summer horse camp was designed to teach children about
farm life and the great outdoors through hands on activities & learning. Camp is from 9am to
1pm. Morning drop off is 8:45-9am. Afternoon pick up is 1pm.
Horse Camp is packed with all barn life has to offer: horse care and handling and a riding lesson
each day. We’ll horse around with all things equine: hands-on daily barn activities, horse
themed crafts and fun horse games.
PLEASE NOTE: Camp space is limited. A camp registration form and $50 nonrefundable
deposit secure a camp session for your child. Deposits can be made via checks made out to
VonThun Farms or by calling the farm with credit card information. All forms, along with
payment in full, must be received by June 1. Refunds, less deposits, will only be made for
cancellations that are made prior to the start of your chosen camp session.
CAMP CHECKLIST:
Packed lunch & snack Bottle of water
Sunscreen Bug spray
Signed Hold Harmless Waiver Signed Medical Release Form
Jeans or leggings for riding/horse activities (shorts for non-horse activities)
Appropriate footwear (a shoe or boot with a 3/4" – 1" heel.
No sneakers/flat soled shoes/open toe shoes
VonThun Farms
2020 Summer Camp
Monday through Friday, 9am to 1pm
35 Kayharts Lane
Washington, NJ 07882
732-986-6816
HORSE CAMP: $375 per session
HELD AT THE BARN ON KAYHARTS LANE. Cindy@VonThunFarms.com
Drop off: 8:45 – 9:00 Pick up: 1:00 No exceptions
June 22 – 26
July 6 – 10 10% off for
July 13 – 17 (ADVANCED CAMP … this
session is only for riders that have previously PonyPals members
attended a week of our summer horse camp)
Registration…
Campers Name: __________________________________________________________
Camper’s Age: _________________ Male: ________ Female: ________
>>>> Session attending: Please check the appropriate session above
Allergies/Medical Conditions: ______________________________________________
_______________________________________________________________________
Parents Name: ___________________________________________________________
Cell Phone: _________________________ Alt. Phone: __________________________
Email Address: __________________________________________________________
Address: _______________________________________________________________
Emergency Contact: _________________________ Relationship: _________________
Cell Phone: __________________________ Alt. Phone: _________________________
Photo Release…
I give VonThun Farms permission to use any photographs of my child for social media,
website, publications, &/or promotions.
Parent signature: ___________________________________ Date: ________________
Please fill out this form & mail or email to the address listed above.
A $50 deposit secures your camp registration. Payment can be made via check or by
calling Cindy (732-986-6816) with credit card information.Medical Forms
Dear Parents,
This Medical Form, Hold Harmless Form , Current Health 35 Kayharts Lane
Record and Immunization Records from your pediatrician Washington, NJ 07882
must accompany registration forms. 732-986-6816
Cindy@VonThunFarms.com
Health Records: New Jersey state law requires that campers submit
a current health record and immunization record each year; please
provide written documentation if your child is not vaccinated for
medical or religious reasons.
Camper's Name: ______________________________________________________________
Parent Name: ________________________________________________________________
Home Phone: __________________________ Work Phone: ___________________________
Cell Phone: ___________________________
Emergency Contact : __________________________ Primary Phone: ___________________
Relationship to Camper: ________________________________________________________
Insurance Company:___________________ Insurance Policy Number : __________________
Doctor's Name in case of emergency: ________________________ Phone #: ______________
Does the camper have any allergies (food, medicines, bee stings) or medical conditions
(asthma, etc.)? Please list: _______________________________________________________
_____________________________________________________________________________
Note: Staff at VonThun Farms is not able to administer medications during camp.HOLD HARMLESS FORM
AUTHORIZATION FOR PEDIATRIC
35 Kayharts Lane
EMERGENCY MEDICAL AND/OR SURGICAL Washington, NJ 07882
TREATMENT EXPLANATION 732-986-6816
Cindy@VonThunFarms.com
For the safety of Children, sound medical practice calls for this authorization. In
emergencies, where the Parent/Legal Guardian or Emergency Contact of the Child cannot
be reached - this form will be extremely important. The authorization granted by this form
will be used only when absolutely necessary and only after every attempt has been made
first to contact the Parent/Legal Guardian or Emergency Contact.
I hereby give my permission for my Child to attend VonThun Farms "Summer Farm
Camp" or "Sumer Horse Camp." The Child herein described has permission to
engage in all prescribed camp activities except as noted.
I hold harmless VonThun Farms, and their employees, agents, servants and volunteers
from all risk, liability, injury, damage and loss to all persons and property which
may occur to my child during or resulting from participation in the program.
I hereby authorize VonThun Farms to take measures in the event of a medical emergency.
I hereby give permission to the medical personnel selected by VonThun Farms to
order X-rays, routine tests, treatment, and necessary related transportation for my child.
In the event I cannot be reached in an emergency, I hereby give permission to the
Physician of the hospital selected by VonThun Farms to secure treatment, including
hospitalization, for my Child as named above. The VonThun Farms staff cannot
assume any responsibility for administering any medication to children.
Parent/Legal Guardian's Signature:
_____________________________________ _____________________________
Signature DateHorseback Riding Release
& Hold Harmless Waiver
This document has been prepared by VonThun’s Country Farm Market, LLC
Th. dba VonThun Farms.
Please Print… 35 Kayharts Lane
Member/Rider Name:____________________________________ Washington, NJ 07882
Parent Name: _________________________________________ 732-986-6816
Address: ___________________________________________ Cindy@VonThunFarms.com
Cell #:______________________________ Home #:________________________________
The Undersigned (__________________________________) assumes the unavoidable risks inherent in all horse related
activities, including but not limited to bodily injury and physical harm to horse, rider and spectator. In consideration, therefore, for
the privilege of riding, and/or working around horses at VonThun Farms, located at 35 Kayharts Lane/438 Route 57 West,
Washington Township, NJ, the Undersigned does hereby agree to hold harmless and indemnify VonThun Farms and VonThun’s
Country Farm Market, LLC, and further release them from any liability or responsibility for accident, damage, injury, or illness to
the Undersigned or to any horse owned by the Undersigned or to any family member or spectator accompanying the
Undersigned on the Premises.
Nature of the Horse Clause
__________________________________ understand and agree that: Horseback riding is classified as a rugged adventure
recreational sport activity and that there are numerous obvious and non-obvious inherent risks always present in such activity
despite all safety precautions. No horse is a completely safe horse. Horses are 5 to 15 times larger, 20 to 40 times more
powerful, and 3 to 4 times faster than a human is. If a rider falls from horse to ground it will generally be at a distance of from 3½
feet to 5½ feet, and where the impact can result in injury or death to the rider. Horseback riding and horse driving are the only
sports where a much smaller, weaker predator animal, the human, tries to control and become on unit of movement with another
much larger, stronger prey animal, the horse, with each having a limited understanding of the other. If a horse is frightened or
provoked it may divert from its training and act according to its natural survival instincts which may include, but are not limited to:
stopping short; changing direction or speed at will; sifting its weight from side to side; bucking; rearing; biting; kicking;
or running from danger.
Liability Release
I, __________________________________, AGREE THAT: In consideration of VonThun Farms allowing my participation in
this activity, under the terms set forth herein, I, the rider, for myself and on behalf of my child and or legal ward, heirs,
administrators, personal representatives or assigns, do agree to hold harmless, release, and discharge VonThun Farms, its
owners, agents, employees, trainers, officers, directors, and other acting on its behalf (hereinafter, collectively referred to as
ASSOCIATES), of and from all claims, demands, causes of action, and legal liability, whether the same be known or
unknown. I, the Undersigned, shall not bring any claims, demands, legal actions and causes of action, against VonThun
Farms and its Associates as stated above in this clause, for any economic and non-economic losses due to bodily injury,
death, or property damage, sustained by me and/or my minor child and/or legal ward in relation to the premises and
operations of VonThun Farms to include while riding, handling, or otherwise being near horses owned by or in the care,
custody and control of VonThun Farms whether on or off the premises of VonThun Farms.
I the undersigned have read the above three (3) sections and have Understood and Agreed to
each section. The above sections are: Release and Hold Harmless Agreement; Nature of the
Horse Clause; and Liability Release.
Signature: __________________________________________________ __________________
Member/Rider Date
Parent Signature: __________________________________________________ __________________
(if under 18 years Parent or Guardian Signature is required) DateYou can also read
