Let's G.O. (Get Outdoors) Camp Application
Please fill out all of the information below. If you have questions, please email info@pineridgefarmtn.com or call 931-534-9090.
Child's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Age (at time of camp)
*
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relation to Child
*
Emergency Mobile Contact
*
Please enter a valid phone number.
Primary Email Address
*
example@example.com
T-Shirt Size (for life vest sizing)
*
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
How did you hear about us?
*
Payment **Important** Full payment is due at time of registration and is fully refundable 2 weeks before camp date. After that, you will forfeit your registration fee unless you can find a replacement camper.
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Boys Camp (Age 9-16) June 23 Archery
$
40.00
Boys Camp (Age 9-16) June 24 Clay Shooting
$
40.00
Boys Camp (Age 9-16) June 25 Survival Skills
$
40.00
Boys Camp (Age 9-16) June 26 Rifle Shooting
$
40.00
Girls Camp (Age 9-16) June 30 Archery
$
40.00
Girls Camp (Age 9-16) July 1 Clay Shooting
$
40.00
Girls Camp (Age 9-16) July 2 Survival Skills
$
40.00
Girls Camp (Age 9-16) July 3 Rifle Shooting
$
40.00
A link to camp forms will be sent to you once your application and deposit have been received.
Send Application
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