Registration Form

Sorry, we can NOT take over-the-phone
registrations

Please print off this form and mail it along with the required $30 per camp day to :
The Flying G Ranch
2759 Patrick Road
Waxahachie, TX 75167

Make checks payable to : The Flying G Ranch
A $30 per camp day fee is due with this form.
The Flying G Ranch will email a confirmation code and camp info upon receipt of this
registration form and fees.

Camper's name: ___________________________________________

Address:__________________________________________________

City:__________________________  Zip: _______________________

Phone:_________________________________________

Camper's Age:___________ D.O.B.___/___/___  M  /  F

E-Mail Address:_______________________________________
IMPORTANT! Please provide us with an e-mail address where we can send your
camp confirmation code. If you do not have an e-mail address, your confirmation
code will be sent via U.S. mail.
Please turn in this registration form early to provide time for mail travel.

Place a check mark next to the camp day(s)you wish to sign up for:

____ Mon. December 20

____ Tue. December 21

____ Wed. December 22

____ Thurs. December 23

____ Mon.  December 27

____ Tue. December 28

____ Wed. December 29

____ Thurs. December 30

____ Fri. December 31



Medical and liability release:
I, the undersigned,  am the parent or guardian having control or custody of the above
named child.  I grant my child permission to attend The Flying “G” Ranch.  I certify
that my child is physically and mentally fit for all camp and equestrian activities and
will obey all camp staff and rules. I grant my permission in case of injury, accident or
illness for my child to be treated by any licensed physician or member of camp staff
and agree to pay for all such treatment, further,
I RELEASE THE FLYING “G” RANCH,  ITS OWNERS, DIRECTORS, EMPLOYEES
AND VOLUNTEERS FROM ANY RESPONSIBILITY,  LIABILITY, DAMAGES,
ACCIDENT, OR ILLNESS INCURRED BY MY CHILD, ARISING FROM OR
RELATED TO MY CHILD’S PARTICIPATION IN ANY ACTIVITY AT OR
CONNECTED WITH THE FLYING “G” RANCH.
UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE) AN
EQUINE PROFESSIONAL IS NOT LIABLE FOR THE INJURY TO OR THE DEATH
OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT
RISKS OF EQUINE ACTIVITIES.


X________________________________________________________________      
signature of parent or guardian                                  Date                            



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