VONTHUN FARMS 2021 SUMMER HORSE CAMP

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VonThun Farms
2021 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
           2021 Summer Camp
       Monday through Friday, 9am to 1pm
                                                                                          35 Kayharts Lane
                                                                                       Washington, NJ 07882
HORSE CAMP: $400 per week session                                                          732-986-6816
HELD AT THE BARN ON KAYHARTS LANE.                                                   Cindy@VonThunFarms.com
Drop off: 8:45 – 9:00 Pick up: 1:00 No exceptions
June 21 – 25
June 28 – July 2                                  $50 off for full year PonyPals members!
July 12 – 16                                      Camp space is limited. Registration is secure only when
August 2 – 6                                                  payment has been received.
August 23 – 27
   
   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 non-refundable $50 deposit secures your camp registration.
                                          Please, cash or checks only.
Medical Forms

Dear Parents,
                                                                       VonThun Farms
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 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                                        Date
Horseback 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)           Date
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