Horse Camp Registration Form

Horse Camp Registration Form

To book your campers spot, please complete this form and send your $50 deposit.
Camper Name

First NameLast Name
Birth Date

MonthDayYear
Home Phone Number
Mobile Number
Email Address
example@example.com
Desired Name Tag
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide any medical or dietary restrictions you have
How did you hear about Camp?
Family Information
Parent/Guardian's Name

First NameLast Name
Contact Phone Number
E-mail Address
example@example.com
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Relationship to Student
Desired Dates

MonthDayYear
Date
Signature

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Camp Deposit + Paypal Processing Fee
$55.00

Total

$0.00
Pay with PayPal

Please click one of the PayPal options to complete payment and submit the form.
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