Talbot Run Equestrian Center, LLC
2013 Summer Riding Camp Application
Camper’s Name___________________________________________________________________________
Address________________________________________________________________________________
City, State, Zip____________________________________________________________________________
Home Phone_______________________cell__________________email______________________________
Birth Date___________________________________________Age during camp________________________
Parent/Guardian Name______________________________________________________________________
Emergency Contact_____________________________________________phone_______________________
Riding Experience
___None
___Walk
___Walk/Trot
___Walk/Trot/Canter
___Walk/Trot/Canter/Jump
Session Preferences
___June 17-21 Regular Camp
___June 24-28 Regular Camp/Trail Riding Camp
___July 8-12 Regular Camp/Half Day Camp
___July 22-26 Regular Camp/Half Day Camp
___July 29-Aug 2 Regular Camp/Trail Riding Camp
___August 5-9 Regular Camp
___August 12-16 Regular Camp
___August 19-23 Eventing Camp (Instructor Recommendation Only)
Registration Fees
___One week of camp – $350 (Special Early Bird rate for paid in full first week by Feb. 8 – $315)
___Second week of camp (or other multiple week) discount fee – $330
___Sibling discount fee – $330
___Half Day Camp fee – $175
___Before/After Care fee – $50 per session – 8 am to 5 pm
____________________________________________________________________________________________________
* A deposit of $100 with this application. Due to limited spaces available, deposits are non-refundable after May 1, 2013.
Please send or bring applications to:
Talbot Run Equestrian Center, LLC 4727 Buffalo Road Mount Airy, MD 21771
For more information or questions, call: 410-635-3842 or email: talbotrunec@aol.com
