Youth Day Camp Form

Text Box: YOUTH DAY CAMP – ENROLLMENT FORM
Name:

Address:



Riding Experience, if any (describe):




Accident/Medical Ins #:

Medications to be brought with child and a note explaining dosage.

Parent/Guardian Name:

Home Phone:                                                Work Phone:

Parent/Guardian Name:

Home Phone:                                                Work Phone:

Age:                      T-Shirt Size:

Emergency Contact:                                                       Phone:

Email:

In case of an emergency, we will use the Fairmont General Hospital unless otherwise specified here.



How did you hear about Bunner Ridge Riding Association, Inc.?


Cost:
The cost of the camp is $200.00 per four-day camp. This includes two (2) hours per day of mounted instruction and three (3) hours of classroom and hands-on instruction. Please make checks of $200.00 payable upon application.

Please send completed application and fee to:
     Bunner Ridge Riding Association, Treasurer
     Post Office Box 57
     Colfax, WV 26566

Bunner Ridge Riding Association, Inc.