SUMMER CAMP ENROLLMENT REQUEST 2013

Parent Name:____________________________         
 

Home Phone: ______________   Work Phone: _____________     Cell Phone:  _______________
 

Parent Address: _________________________________________________    
 

Camper Name:_____________________________            Camper Age: _____                     
 

Camp Name and Dates:_________________________________________________________________________                                                   

Due to the popularity of these programs and the limitation of riders in a session, a non-refundable deposit in the amount of $750 is needed to complete registration. 

Payment Options:

Please make your check payable to:
Sunburst Horsemanship School
1129 Durham Lane
Nicholasville, KY  40356
Phone: 859-224-8480

Parent Signature_________________________________________      Daytime Phone______________