Horse Camp Payment Form
Camper Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Which week of Camp is your camper attending?
*
Horse Camp Week 1 (June 30 - July 4)
Horse Camp Week 2 (July 7-July 11)
Back
Next
Please select the payment installment you wish to pay.
*
prev
next
( X )
Full Horse Camp Payment (including deposit)
$
500.00
Quantity
1
Horse Camp Deposit
$
100.00
Quantity
1
March 15th Horse Camp Payment
$
100.00
Quantity
1
Item subtotal:
$
0.00
April 15th Horse Camp Payment
$
150.00
Quantity
1
Item subtotal:
$
0.00
May 15th Horse Camp Payment
$
150.00
Quantity
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.
Submit
Should be Empty: