Summer Camp Application (Deposit Only)

Parent's Name *

First

Last

Child's Name *

Please complete this form for each camper.

Child's Age *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Riding Experience *

For example, please specify the years of lessons.

For Advanced Campers: What skills would you like to focus on?

Medical Conditions

Select Camp Dates *

$425: Jul 10th - 14th
$400 (before 5/31) Jul 10th - 14th
$425 : July 31st - Aug 4th
$400 (before 5/31) July 31st - Aug 4th
$100 Deposit: Jul 10th - 14th Balance due the first day of camp. Cash or check only
$100 Deposit: July 31st - Aug 4th Balance due the first day of camp. Cash or check only
Camp Balance

If you would like to register for more than one week, please complete this online form again.

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

credit card transactions subject to a 3.5% processing fee.

Total

$ 0.00

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