Summer Day Camp Registration

Alternately, Download (click here) print and fax/scan and email this form to us. Fax: # on the left, or in contact us.

Having Trouble viewing in Internet Explorer 8+? Click the "Compatibility View" Icon beside the address bar. Or get FireFox of Google Chrome to browse the web.

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

2010 Dates
1: July 5-9
2: July 12-16
3: July 19-23
4: July 26-30
5: Aug 2-6
6: Aug 9-13
7: Aug 16-20
8: Aug 23-27

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:

Please Enter what you see - click refresh if you are not able to read the words

Cornerstone Equestrian Centre, Powered by Joomla!; Joomla templates by SG web hosting