2012 Spring 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.
           
 
I understand the fee is $400.00 per Week, and a
non-refundable deposit of $150.00 per week must accompany this registration form. The Balance is due on the first day of camp.
 
(Cash, Check, or Money Order.)
 
April 9-13, 2012  
 
Please circle the week you want.
  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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