Amazing Horses and More

P.O. Box 129

Duvall, WA 98019

425-788-5103

www.amazinghorsesandmore.com

Summer  Horse Camp Application

Camper Information

Last Name

 

First

 

M.I.

Date of Birth

 

Street Address

 

City

 

State

 

ZIP

 

Phone

 

E-mail Address

 

Parent Name

 

Work Phone

 

Cell

 

Alternate Emergency Contact

 

One Week Session (Check one) $425 EACH for 5 days / cOLTS AGES 10-13  / wRANGLER AGES 14-16

Session 1: Colts 

6/25/07 - 6/29/07

Session 2: Wranglers 7/9/07 - 7/13/07

 

Session 3: Colts

7/16/07 - 7/20/07

Session 4: Wranglers

8/6/07 -8/10/07

Session 5: Colts

8/13/07 - 8/17/07

 

Session 6: Wranglers       

8/19/07 - 8/24/07

A non-refundable $100 deposit is required for each session registered. The balance is due 15 days prior to the session start date

Dismissal information

Please list all persons other than yourself (including, if applicable, the child’s other parent or legal guardian) who are authorized to pick up your child. For your child’s safety, he/she will not be released to anyone else. No changes to this list will be made unless the parent or legal guardian whose signature appears below requests such changes in writing.

Full Name

 

Relationship

 

Full Name

 

Relationship

 

Full Name

 

Relationship

 

Payment and refund policy

DEPOSIT A $100 deposit per session is required. The non-refundable deposit is applied to the total camp fees. The balance is due 15 days prior to the start of the session. If registering within 15 days, the balance of the fees is due at the time of registration. If paying deposit by credit card, a 3% handling charge applies. Credit cards are accepted through paypal www.paypal.com to: amazinghorsesandmore@yahoo.com

 

Mail, Fax, email or Phone Registration to:

 

Amazing Horses and More

P.O. Box 129

Duvall, WA 98019

425-788-5103 Phone/Fax

www.amazinghorsesandmore.com               email to: amazinghorsesandmore@yahoo.com

 

I certify that my child is capable of such an experience. I understand the deposit fee is not refundable but is transferable to another session within the same year. I agree to pay the balance of the fees 15 days before the camp session begins (knowing that failure to do so may automatically cancel this registration) I understand that no refunds are given if a child leaves early because of home sickness or disruptive behavior as determined by the Camp Director.

 

Signature of Parent or Guardian __________________________________________        Date _________________________________

 

Printed Name _________________________________________________________

 

Address ______________________________________________________________      Phone ________________________________