Survey Online Registration 2018 Each week is limited to 10 - 12 riders in our program. All spots are on a first come first serve basis. If you have any questions feel free to contact us directly before filling out this form. Please remember our program is for ages 7 and up. Students Name* First Last Email* Enter Email Confirm Email Parent / Guardian Name* First Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Alternative PhoneCamp Weeks* July 9-13 SOLD OUT! July 16-20 SOLD OUT! August 6 - 10 SOLD OUT! August 20 - 24 These are the week(s) currently available with open registration spots at this time. * indicates limited spots left in that camp weekHelmet Rental* Helmet rental required ( additional $25.00 ) Already own a ASTM / SEI helmet All students must have a ASTM / SEI certified helmet. Please contact us if you have any questions regarding a helmet you may already own. Previous riding experinceAllergies / Medical informationplease list any medical conditions / allergies and any health information we should know about