2008 "JUNIOR" HORSE CAMP for ages 6-17 years. Summer 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 current injuries? _________________________________________________
Ages: 6-17 yrs
Session Date:
June 9th – August 15th MONDAY- FRIDAY
Time: 9:00 am – 3:30 pm
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.
Fees:
Full time daycamp is $225 weekly which is to be paid MONTHLY or weekly in advance a minimum of 1 weeks before date(s) chosen please.
For first session June 9th-13th please have $ in by May 30th!
Dates child will be attending:
��June 2008 9th through 13th.......................$ 225.00
��June 16th - 20th.........................................$ 225.00
��June 23rd - 27th.........................................$ 225.00
��June 30th - July 4th....................................$ 225.00
��July 7th - 11th.............................................$ 225.00
��July 14th - 18th...........................................$ 225.00
��July 21st - 25th............................................$ 225.00
��July 28th - Aug 1st.......................................$ 225.00
��August 4th - 8th...........................................$ 225.00
��August 11th - 15th.......................................$ 225.00
***Add $75.00 per 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 $50 daily for "Part time" camp days multiplied by the total number of dates listed below - per month...
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Total number of part time days: ________
X $50.00 daily ________
TOTAL$: _________
Full time camp: payment for the month is required at time of registration. Riders may take a 30-minute evaluation before starting camp. Evaluation lessons are $30 per child.
Please make checks payable to Jennifer Giammarco. 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
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: _________
