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 *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *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 *Woodpecker Camp ($200): Jul 6, 8th, 10Woodpecker Camp ($200): Jul 13th, 15th, 17thWoodpecker Camp ($200): Jul 27, 29th, 31stIf you would like to register for more than one week, please complete this online form again.Credit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2122232425262728293031Payment-in-full credit card transactions subject to a 3.5% processing fee. Total$ 0.00CommentSubmit