WINDSONG FARM

AGES 8-17 CAMP FORM

2009 "JUNIOR" HORSE CAMP  for ages 8-17 years.
Riding Camp – Registration Form:

Camper’s Name:__________________________________Age:____Height:_____Weight:_____
Parent/Guardian’s name:_________________________________________________________
Parent/Guardian’s E-mail:________________________________________________________
Daytime phone:___________________________Evening phone:__________________________
Address:____________________________________________________________________
City:______________________________________State:_____________Zip:_____________
Emergency contact:______________________________Phone:__________________________
Relationship to camper:__________________________________________________________
Allergies Chronic/Recurring Illness
�� Animals _________________   �� Arthritis
�� Food ___________________   �� Asthma
�� Hay Fever _______________   �� Diabetes
�� Insect Stings _____________   �� Hypertension
�� Medicine/Drugs ___________   �� Other _______________________
�� Other ___________________
Have you had any recent injuries within the last 6 months? _________________________________________________
Ages: 8-17 yrs
 Summer Camp Session Dates :(please check)
JUNE:  O6/1/09  O6/3/09  O6/5/09   O6/8/09   O6/10/09  O6/12/09  O6/15/09   O6/17/09    O6/19/09  O6/22/09  O6/24/09  O6/26/09   O6/29/09   
JULY:  O7/01/09   O7/03/09   O7/6/09  O7/8/09  O7/10/09 O7/13/09  O7/15/09  O7/17/09  O7/20/09  O7/22/09  O7/24/09  O7/27/09  O7/29/09  O7/31/09
Time: 9:30 am – 3:30 pm before and after care can be arranged for total hours of 8am-5pm for additional $15 per day
Requirements: Bring a LUNCH and PLENTY of drinks. Dress in Jeans, boots (with min 3/4" heel) AN ASTM SEI APPOVED riding (not bicycle) helmet if you have one , if not we will lend one and please bring an extra shirt we will have water activities to keep kids and horses cool and happy.
Fees: 
SPRING CAMP- Full time daycamp is available M-F 9:30 AM - 3:30PM
SUMMER -Full time WEEKLY daycamp is available please inquiry with weeks you will be interested in attending. The cost is $270 before and after care is avaiable if necessary for an additional $30.
We currently are planning on PT camp, cost is  $180 for M-W-F weekly to be paid in advance For -ALL CAMPS_ a minimum of 1 week before date(s) chosen please.
Part time Daily fee $60/day per child 
Pizza party days are $75
Dates child will be attending:___________________________________________
Amount:__________________________________________________________
payment type:______________________________
 
 ***Add $45.00 per PT weekly session for before and after hours for extended camp time of 8am-5pm.
 
Dates for "Part time" registration must be paid in advance for the month as well please specify date with in the weeks listed above and make payment accordingly: Fee is $60 daily for "Part time" camp days multiplied by the total number of dates listed below - per month...
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
                                                                           Total number of part time days: ________
                                                                                          X $____.00 daily fee   ________
                                                                                                           TOTAL$:   _________
Full time camp: payment for the month is required at time of registration. Evaluation lessons are recommended for children that have ridden more then 4 mos @ $30 per child.
All Riders may take a 30-minute evaluation/lesson before starting camp to see what level horse to match them with.
 Please make checks payable to "Jennifer Giammarco" and in the memo section on your check please write "WSF camp" 
***REFUND POLICY *** All Cancellations must be in written form and made with us
at least two weeks in advance for a full refund.
Without prior 2 week written notice we will NOT refund any money paid.
Please return registration form and Riding release form,  along with payment to:
Jennifer Giammarco
Windsong Farm , 3189 Tropicaire Blvd, North Port, FL 34286 
(941)426-2894 cell (941) 716-5362
 http://windsongfarm1.webs.com/
 
 I _(parent's name)___________________________________hearby understand the terms for payments and amounts listed above and have read the refund policy stated for camp registration.
 X PARENTS SIGNATURE _______________________________________ DATE______
 
 
   For Office Use
Method of Payment:  Cash________    Check_______    Cashier Check___________
Date of Payment: ________

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