Summer Day Camp Registration

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Child's Name:

Parent's Name:

Email:

Phone:

Cell Phone:

Address

Emergency Contact:

Riders Level

Riders Level :: Beginner, Intermediate, Advanced

Rider's Age

Rider's Height & Weight

Select a week:

Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8

2011 Dates
Week 1: July 9 - 13
Week 2: July 16 - 20
Week 3: July 23 - 27
Week 4: July 30 - Aug. 3
Week 5: Aug 6 - 10
Week 6: Aug 13 - 17
Week 7: Aug 20 - 24

I agree to the terms set out in the Riding Waiver and will bring a signed copy on the first day with my child.

Human Verification:

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