Application Form for

Longacres Riding Camp

2012 Season

Print out this application form and return to:

Longacres Riding Camp, 1529 Mill Road, East Aurora, NY 14052

With $400 non-refundable deposit

40% of balance due on January 15, 2010; balance by April 1, 2010

 

Circle:

EARLY BIRD WEEKS: Adult/Student Week, June 4 to June 9 - - - -

- - - Pro Clinic Week, June 11 to June 16 - - - - - - Mother-Daughter Week/Clinic, June 18 to June 23

Two weeks, June 24 to July 8 - - - - Two weeks July 8 to July 22 - - - Four Weeks, June 24 to July 22

Second session, July 25 to August 18 - - - - Eight weeks, June 24 to August 18 - - - -

Lazy Days of August, August 20 to 25th

 

Name _______________________________________________

 

Parents Name__________________________________________

 

Address ______________________________________________

 

City ___________________________________ State _________

 

Zip ______________ Phone ______________________________

 

e-mail address _________________________________________

 

Age _______________

 

After you register with this form you will be mailed a formal enrollment contract. This form will save your space. (Most sessions fill before Christmas.)