2014 Spring / Summer Horsemanship Camp

 Registration Form

 
MAIL TO:
 
VERDI TRAILS WEST, INC.
P.O. BOX 972 VERDI, NV 89439
Please return your Registration Form along with your fees as soon as possible. Camps are limited to 4 students.
           
Please enroll my child in Spring Break Horsemanship Camp
(mark the date desired)

Week #1

March 31-4
Week #2 April 7-11
Please enroll my child in Summer Horsemanship Camp
(mark the date desired)

Week #1

June 16-20
Week #2 June 23-27
Week #3 June 30-July 4
Week #4 July 7-11
Week #5 July 14-18
Week #6 July 21-25
Week #7 July 28-August 1
Week #8 Aug 4-August 8
 
I understand the fee is $375.00 per Week, and a
non-refundable deposit of $150.00 per week must accompany this registration form. The Balance of $225.00 is due on the first day of camp.
 
(Cash, Check, or Money order.)
           
  Name _________________________ DOB________________
  Parent/Guardian(Print)_____________________________
  Street Address_____________________________________
  City___________________ State___ Zip_________________
  Home Phone____________ Cell________________________
  Emergency Phone_____________________during camp hrs.
  My Child is: Beginning Rider_____
Intermediate Rider_____
Advanced Rider_____
  My Child is allergic to________________________________
  Other Health Concerns______________________________
   
  _________________________________________________
  Signature of Parent/Guardian
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