Camp Application

Talbot Run Equestrian Center

2016 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 20-24            Regular Camp

___June 27-July 1      Regular Camp/Trail Riding Camp

___July 11-15               Regular Camp

___July 18-22             Regular Camp

___August 1-5          Regular Camp

___August 8-12       Regular Camp/Eventing Camp

___August 15-19       Regular Camp/Pony Club Prep Camp

Registration Fees

___One week of camp – $360 (Special Early Bird rate for paid in full  by Feb. 12 – $324, can not be used in conjunction with sibling or multiple week discount)

___Second week of camp (or other multiple week) discount fee – $340

___Sibling discount fee – $340

___Half Day Camp fee – $180

___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, 2016.

Please send or bring applications to:

Talbot Run Equestrian Center  4727 Buffalo Road   Mount Airy, MD   21771

For more information or questions, call: 301-648-7602 or email: talbotrunec@aol.com