Mini Camp Application

Talbot Run Equestrian Center

Fall Mini Camp Application

Camper Information

Camper’s Name:
Email
Address:
City, State, Zip:
Home Phone:
Birth Date: Age:
Sex: Grade
Parent/Guardian Name: Work Phone:
Emergency Contact: Phone:

I am registering for:

_____September 23

______October 16

______Extended Day ($15/day)

Total Paid:______________

Payment in full is due with application. Deposits are non-refundable unless we find someone to take your place. Space is limited to 15 riders.

 

 

Please return completed application and payment to:

Talbot Run E.C., 4727 Buffalo Road, Mount Airy, MD 21771

For more information or questions, call: 301-648-7602