Camper Information

Name _______________________________________ Age _______________

Address _________________________________________________________
City, State, Zip ____________________________________________________

Parent Information
Name ___________________________________________________________
Phone Number ___________________________ Best Time to Call ___________
Email Address ____________________________

Camper’s Riding Experience

Do you ride at West Wind? Circle one: YES NO
Describe your riding experience, if any: ___________________________________
_______________________________________________________________________
Do you have siblings attending? If so, who? _________________________________

Week Choices Please check all the weeks you will be attending
June 23 – 27 August 4 – 8
July 14 – 18 August 11 – 15
July 21 – 25 August 18 – 22
July 28 – August 1 August 25 – 29

Payment Options
™ ___ weeks @ $425/week ____________
™ Family Discount ____________ office use
™ Multiple Week Discount ____________ office use
Deposit due at Registration - $100
Total ____________

Payment Method: Cash/Check # _______ Date ________ Approved by: ______