Summer Camp Application

Camper's Name:                                                                                          

Age:                 Birthday:         -            -          

Address:                                                                                                                                    

Phone #                                                          

Emergency #:                                                                                                                        

Physician Name:                                        Allergies:                                                               

Phone #:                                                   Medicine(s):                                                                   

Have you taken lessons @ Saddlebrook before?                                      

Riding Level (Please circle)

Beginner     Intermediate     Advanced

Saddle Preference:  English     Western

Height of Camper:             FT.             IN.

Camp Fee:  TBA.  A non-refundable 20% deposit (per child per week) is due with application.  Balance is due on or before the first day of camp.

 Week(s) Camper wishes to attend (write below)

Deposit:    Check #:                                                   

                   Amount:                                                

Bal. Due:  Check #:                                                   

                   Amount:                                                

Parent’s Signature:

PLEASE PRINT OUT THIS FORM, AND MAIL IT ALONG WITH APPROPRIATE DEPOSIT TO:

SADDLEBROOK EQUESTRIAN CENTER

4870 SKIPPACK PIKE

SCHWENKSVILLE, PA 19473

ATTN:  ROSE