SUMMER HORSE DAYCAMP 2009 APPLICATION

CHILDS NAME

SECOND CHILD'S NAME

THIRD CHILD'S NAME

PARENT'S NAME

ADDRESS

CITY, STATE & ZIP

HOME PHONE

CELL PHONE

EMAIL ADDRESS

RIDING EXPERIANCE

DOES ANYONE IN THE FAMILY OWN A HORSE?

DOES YOUR CHILD HAVE SPECIAL NEEDS

YEARS

MONTHS

DAYS

PLEASE FILL OUT THE FORM BELOW AND INDICATE THE DATES YOU WISH FOR YOUR CHILD TO ATTEND. IN ORDER TO KEEP THINGS SAFE, THERE ARE LIMITED OPENINGS AVAILABLE.

BEFORE ANY DATES CAN BE SECURED, A NONREFUNDABLE DEPOSIT OF $162.50 IS DUE WITH THE APPLICATIOIN AND LEAVING A BALANCE OF $162.50 DUE ON THE FIRST DAY OF CAMP.

EACH CHILD WILL NEED:

AN APPROVED RIDING HELMET

BOOTS WITH NO MORE THAT 1/2": HEEL

LONG PANTS - JEANS ACCEPTABLE

CHANGE OF CLOTHES - SHORTS AND TEE SHIRT

PLEASE CHECK CAMP DATES YOU WISH TO ATTEND

Because of the economy, we've lowered our five day camp price to $325.00.

AGE

If yes, please explain below.

If someone else will be dropping off your child or picking your child up, please fill in their name and phone number.

NAME

PHONE

DON'T FORGET THE SUN SCREEN

AGE

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