Talbot Run Equestrian Center
2017 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 19-23 Regular Camp/Pony Play
___June 26-30 Regular Camp/Just Jump
___July 24-28 Regular Camp
___July 31-Aug. 4 Regular Camp
___August 7-11 Regular Camp/Pony Play
___August 21-25 Regular Camp/Intro to Eventing
___August 28-Sept.1 Regular Camp
Registration Fees
___One week of camp – $360 (Special Early Bird rate for paid in full by Feb. 10 – $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 (Early Bird rate – $165)
___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, 2017.
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
