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
