12 Mile Stables Day Camp Registration
We are so excited you are interested in our Day Camp! Please fill out this form and tell us about your kid and which day camp week you want to attend. Someone from our team will contact you after you fill out the form to confirm your registration.
Camper's Name
*
First Name
Last Name
Birth Date
*
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Month
-
Day
Year
Date
Camper's Age
*
1st choice Week of Camp That Works For you. Please select the week(s) desired. If you would like to attend more than one camp week, please select all dates you would like to attend:
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Week 1 May 20-24
Week 1 Half Week (Pro Rated!)
Week 2 May 27-31
Week 3 June 3-7
Week 4 June 10-14
Week 5 June 17-21
Week 6 June 24-28
Week 7 July 1-5
Week 8 July 8-12
Week 9 July 15-19
Week 10 July 22-25
Week 11 July 19 - Aug 2
Week 12 Aug 5 - 9
Week 13 Aug 12-16
Week 14 Aug 19-22
Week 14 Half Week (Pro Rated!)
2nd Choice (Alternate Week Dates) Week Date desired. (If your preferred week is already filled, please list all applicable weeks you are available for camp.)
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Week 1 May 20-24
Week 1 Half Week (Pro Rated!)
Week 2 May 27-31
Week 3 June 3-7
Week 4 June 10-14
Week 5 June 17-21
Week 6 June 24-28
Week 7 July 1-5
Week 8 July 8-12
Week 9 July 15-19
Week 10 July 22-25
Week 11 July 19 - Aug 2
Week 12 Aug 5 - 9
Week 13 Aug 12-16
Week 14 Aug 19-22
Week 14 Half Week (Pro Rated!)
Parents Names
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list your friends you want to be with. We will do our best to honor all requests. All registrations are processed in the order they are received. If the week is already filled, we cannot add other campers to it. (First and Last names)
Credit Card Number
*
CC Expiration
*
CVV Code
*
Credit Card Zip code
*
I will call 720-308-5719 in order to pay with my credit card
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No I have added my Credit card number please use it for my deposit
Yes, I will call 720-308-5719 in order to pay my deposit and hold the dates. Registration will not be held or confirmed until credit card is provided.
I approve the payment to the above credit card for the Non-Refundable $100 deposit (for each week) in order to secure my child (s) registration. I agree cancellation for Camp must be received three weeks prior to the first day of camp. Full payment is required if camp is not cancelled three weeks prior to first day of camp.
*
Yes
No I'm calling 720-308-5719 to give payment over the phone
I understand that I will have to pay balance upon arrival in the form of Cash or Check.
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Yes
I understand that I will have to pay a deposit to hold my child's reservation:
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Yes
Emergency contact:
*
First Name
Last Name
Emergency Contact Phone Number:
*
Please enter a valid phone number.
Submit
Should be Empty: