2012

Summer Camp
1270 Cox Cro Road * Toms River, NJ * (732) 557-5533

Camper Information
Name _________________________________________________________Age ________
Address ___________________________________________________________________
Riding Experience ___________________________________________________________
Allergies/Special Needs ______________________________________________________
Parent Information
Name ____________________________________Email____________________________
Phone/Best time to call ______________________________________________________
Please Check Week(s):
__ June 25-29

__ July 30-Aug 3

__ Aug 20-24

__ July 9-13

__ Aug 6-10

__

__ July 16-20

__ Aug 13-17

__

Payment
__ weeks @ $450 per week full day. $300 half day

_______

Discounts.
Lesson students, per week

$25 x ___ =

_______

Multiple week $50 off full day,

$50 x ___ =

_______

$25 off half day

$25 x ___ =

_______

$100 deposit per week required to save spot

$100 x ___ =

Total due on first day of camp

Paid by Check _____ Date ________

- _______
_______

Cash _______ Date ________ Initials _____