Camp Registration 2009

Cam mper Inf formatio on Namee ________ __________ __________ __________ ______ Agee ________ ________ Addrress ______ __________ __________ _________ __________ _________ _________ City, State, Zip __________ _ __________ _________ __________ _________ _________ rent Info ormation n Par Namee ________ __________ __________ __________ _________ __________ _________ Phone Number __________ _ _________ __________ _ Best Time to Call ___ _________ Emaill Address __ __________ _________ __________ _ Cam mper’s Riding R Ex xperience Do you ride at West W Wind? Circle onee: YES NO Describe your rid ding experieence, if any: _________ _ __________ __________ _________ _ _______________ ________________________________________________________________ Do you have siblings attendinng? If so, who? _______ __________ _________ __________ _ ek Choic ces Pleasse check all the t weeks you y will be atttending Wee June 22 - 26 July 27 - 31 June 29 – July 3 August 10 1 - 14 July 6 - 10 0 August 17 1 – 21 July 13 - 17 1 August 24 2 - 28 July 20 - 24 2 Pay yment Options ™ ___ weeks w @ $425/week ™ Familyy Discount ™ Multip ple Week Discount Depposit due at Registrationn Tottal

____ _________ _ ____ _________ _ office use ____ _________ _ office use - $100 ____ _________ _

Paym ment Method d: Cash/Cheeck # _____ ___ Date __ _______ Appproved by: ______