Summer Camp Application Please enable JavaScript in your browser to complete this form.Parent's Name *FirstLastChild's Name *Please complete this form for each camper.Child's Age *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Riding Experience *For example, please specify the years of lessons. For Advanced Campers: What skills would you like to focus on?Medical ConditionsSelect Camp Dates *$425: Jul 9th - 12th$400 (before 4/30) Jul 9th - 12th$425 : July 15th - 19th $400 (before 4/30) July 15th -19th$100 Deposit: July Jul 9th - 12th$100 Deposit: July 15th - 19thCamp BalanceIf you would like to register for more than one week, please complete this online form again. Credit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2425262728293031323334credit card transactions subject to a 3.5% processing fee. Total$ 0.00EmailSubmit