Camp Application

Talbot Run Equestrian Center, LLC

2014 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 22-24            Regular Camp

___July 7-11                Regular Camp

___July 14-18             Regular Camp

___July 21-25             Regular Camp/Trail Riding Camp

___August 4- 8         Regular Camp

___August 11-15       Regular Camp/Trail Riding Camp

___August 18-22       Regular Camp/Eventing Camp

Registration Fees

___One week of camp – $350 (Special Early Bird rate for paid in full first week by Feb. 15 – 15% off/by March 15 – 10% off)

___Second week of camp (or other multiple week) discount fee – $330

___Sibling discount fee – $330

___Half Day Camp fee – $175

___Before/After Care fee – $65 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, 2014.

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

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