FFA Horse Camp
For girls ages 10-13. Hosted by the Georgia FFA-FCCLA Center in Covington, GA
Camper Information
If you are registering multiple campers, you will need to complete a separate registration form. for each camper.
Camper Name
*
First Name
Last Name
Camper Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2012
2011
2010
2009
2008
Year
Camper Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Camper Gender
*
Male
Female
Other
Parent/Guardian Name
*
Parent/Guardian Email
*
example@example.com
Session Dates
Spaces are first-come, first-serve.
Week One Horse Camp
Waiting List Horse Camp Week One (Does Not Guarantee Spot)
Week Two Horse Camp
Waiting List Horse Camp Week Two (Does Not Guarantee Spot)
How will you be paying?
Waiting List
Card
Check
Scholarship
Back
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Save
Payments must be made in full before attending camp.(If on the waiting list, do not pay)
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Camp Deposit Only
$
100.00
Quantity
0
1
Item subtotal:
$
0.00
Full Horse Camp Registration
$
450.00
Quantity
0
1
Item subtotal:
$
0.00
Total
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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