Registration Form  Spring Break 2011

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

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

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



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(s)  you wish to sign up for:

_____ Monday,  March 14, 2011

_____ Tuesday, March 15, 2011

_____ Wednesday, March 16, 2011

_____ Thursday, March 17, 2011

_____ Friday, March 18, 2011


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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