Summer on the Mountain Add-Ons Camper Name(Required) First Last Parent Email(Required) Add on to existing registration:Nature Explorers (Age 3-5) June 24 – July 3 July 8 – July 19 July 22 – August 2 Mountain Explorers (Age 6-9): Week of July 15 Week of July 22 Week of July 29 Redwood Explorers (Age 9-13): Week of July 15 Week of July 22 Add Transportation Week of June 24 Transportation Week of July 8 Transportation Week of July 15 Transportation Week of July 22 Transportation Week of July 29 Transportation Transportation Location - Week of Jun 24(Required) Ocean side: Aptos (Aptos Naturals/Library) 8:25am/4:00pm Ocean side: Corralitos (Alladin Nursery/5-mile House) 8:35am/3:50pm Inland side: Morgan Hill (DeWitt&Dunne) 8:15am/4:20pm Inland side: Gilroy (Fortino Winery) 8:35am/4:00pm Transportation Location - Week of July 8(Required) Ocean side: Aptos (Aptos Naturals/Library) 8:25am/4:00pm Ocean side: Corralitos (Alladin Nursery/5-mile House) 8:35am/3:50pm Inland side: Morgan Hill (DeWitt&Dunne) 8:15am/4:20pm Inland side: Gilroy (Fortino Winery) 8:35am/4:00pm Transportation Location - Week of July 15(Required) Ocean side: Aptos (Aptos Naturals/Library) 8:25am/4:00pm Ocean side: Corralitos (Alladin Nursery/5-mile House) 8:35am/3:50pm Inland side: Morgan Hill (DeWitt&Dunne) 8:15am/4:20pm Inland side: Gilroy (Fortino Winery) 8:35am/4:00pm Transportation Location - Week of July 22(Required) Ocean side: Aptos (Aptos Naturals/Library) 8:25am/4:00pm Ocean side: Corralitos (Alladin Nursery/5-mile House) 8:35am/3:50pm Inland side: Morgan Hill (DeWitt&Dunne) 8:15am/4:20pm Inland side: Gilroy (Fortino Winery) 8:35am/4:00pm Transportation Location - Week of July 29(Required) Ocean side: Aptos (Aptos Naturals/Library) 8:25am/4:00pm Ocean side: Corralitos (Alladin Nursery/5-mile House) 8:35am/3:50pm Inland side: Morgan Hill (DeWitt&Dunne) 8:15am/4:20pm Inland side: Gilroy (Fortino Winery) 8:35am/4:00pm Half-Day Horsemanship Week of July 15 Week of July 22 Horse Program InformationYou have chosen to enroll your child in a horse camp or program. Please read the Mt. Madonna Stables liability waiver and fill out the following fields. Child's Height(Required) Child's Weight(Required) Horse Handling/Riding Experience(Required) 1st Time Rider Less than 50 hours of lessons More than 50 hours of lessons Does this child have any physical or mental conditions that may affect his/her safety and ability to ride, drive, and/or train horses?(Required) Yes No If "yes", how can we help this student with his/her special needs?(Required)Please refer to the PDF waiver to agree to the following. Section B. Agreement, Scope, Definitions and California Jurisdication Section C. Inherent Risks/Assumption of Risks Section D. Conditions of Nature Warning, Unfamiliar and Sudden Sights, Sounds, and Movements Warning, and Inspection of Premises Section E. Saddle Girths/Natural Loosening Warning Section F. Protective Headgear/Helmet Warning Section G. Liability Release I understand that checking the following boxes constitutes a legal signature confirming that I acknowledge and agree to the Terms of Acceptance included in the Mt. Madonna Stables liabilty waiverAcknowledgement(Required) I Agree and declare under penalty of perjury that the foregoing is true and correct. We, the parents of the above named, for and in consideration of our child's participation in all activities of Mount Madonna Stables, state that we have read the waiver, release and hold harmless agreement written above and we expressly agree that the terms and conditions of said waiver, release and hold harmless agreement shall apply to and be binding upon us and our minor child in so far as it pertains to his or her participation and to any injury or damage said minor child, or his/her horse, may sustain or cause as a result of said participation. I/We represent that I/we have read and do understand the foregoing agreement, liability release and assumption of risk agreement, I/we understand that by signing this document I/we are giving up rights to sue today and in the future. I/We attest that all facts are true and accurate. I/We are signing this while of sound mind and not suffering from shock, or under the influence of alcohol, drugs, or intoxicants.Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Phone(Required)