Age at Camp*
Date of Birth*
Please see our Home Page for current dates and availability.
NoneWalkLearning to TrotTrotting WellLearning to CanterCantering WellAdvanced
Tetanus Injection*: YesNoUnsure
Swimming Ability* NoneStruggleComfortableStrong
Kiah Bus to Camp (no bus for weekend camps)
Kiah Bus Home (no bus for weekend camps)
---Both WaysTo CampHome
7-Day ($1045)Weekend ($565)Day Trip ($195)
---One Way ($35)Both Ways ($70)None
Riding Boot Hire*
Please note that all children must have suitable boots for riding with heels and smooth soles.
---7-Day ($20)Weekend ($20)Day Trip ($10)None
All standard meals are included. Please select if you require a Special Diet*
---None7-Day Camp ($100)Weekend Camp ($80)Day Trip ($20)
Please specify your child's dietary requirements:
Permission to take photographs of your child?* YesNo
Permission to upload images of your child taken at Kiah Camp on Kiah Park Horse Riding Camp face book, website and/ or instagram?* YesNo
I would like to bunk with (accommodated wherever possible, depending on on age, etc.):
Where did you hear about us?* Been BeforeFriends/Word of MouthGoogle SearchFacebookOther (please specify below)
If you would like us to email you a voucher to present to your child, please complete the following:
Who is the voucher from?
Please supply a short message you would like us to add:
We acknowledge that while all reasonable care will be taken of our child/children while at Kiah Park Holiday Camp, we are aware that there are inherent risks with horse riding and any other outdoor and indoor activity and that accidents and illnesses can occur. We authorise any medical assistance considered necessary and agree to meet all costs involved. We further declare our children to be in good health (excepting special medical condition described above) having no other ailment likely to be detrimental to the health of other children. Owners and staff of Kiah Park will not be responsible for any accident or injury caused through any child deliberately disregarding any rules, directions or orders. Children must be aware that these are in place for safety reasons.
By ticking this box I agree to the Terms listed above.* Agree
Do we have permission to administer any medication provided by you?* YesNo
Do we have permission to administer panadol if necessary?* YesNo
Any further comments, information or special requirements, please let us know below. Let us know which horse your child rode last at Kiah!
* An asterisk indicates a required field.
Please leave this field empty.
This is the beginning of your child’s adventure!