Bridgette Harwood
Summer Riding Camp Registration Form
516-425-0693
Child's Information
Full Name
Age ( 6 - 19 )
Height & Weight
Riding Experience
Under 1 Year
2 Years
3 Years
4 + Years
Food or Other Allergies
Yes
No
Medical Conditions
Parent / Guardian
Full Name
Full Address
Home Phone
Cell Phone
Email
Work Phone
Emergency Contact
Full Name
Home Phone
Cell Phone
Work Phone
Type of Camp
Day
Sleep Over
Dates
Jun 25- Jun 28
Jul 2 - Jul 5
Jul 9 - Jul 12
Jul 16 - Jul 19
Jul 23 - Jul 26
Check here if you would like to receive info on upcoming events.