Fox Hollow Farm

Horsemanship Camp Registration Form

Date ______Ck. #______Amount Received______

Campers Name ______Age ______T-Shirt Size: Youth S M L or Adult S M L

Address______State______Zip Code______

Home Phone ______Cell Phone______(M)______(F)

Work Phone ______(M)______(F)

Email ______Additional Email ______

Mother’s Name______Father’s Name______

Circle Level of Horseback Riding Experience:

No Lesson Experience Trail Riding Lessons W/T W/T/C Cross-rails Jumping Courses Competed

Any special Learning Styles or Physical Restrictions? ______

Camp sessions are $350.00 per session, $300.00 if pre-registered by March 15. Sessions run Monday to Friday from 8:30 am to 2:00 pm. Multiple sessions receive a $50.00 discount. Please check the week(s) you wish to enroll in.

___ Spring Break Camp I - April 10 - 14

___ Spring Break Camp II - April 17 - 21

___ Session I - June 12 - 16 ___ Session III - July 10 - 14

___ Session II - June 26 - 30 ___ Session IV - July 24 - 28

Extended Day care @ $25/day is available. Please note the days you will need this service and include the fees with your final payment, due on the first day of camp.

Detach here ------

Keep this portion for your records

All camp spaces are filled on a first come first served basis. A non-refundable deposit of $100.00 is required for each Camp session.

Please complete the above registration form. Send it with a deposit to:

Fox Hollow Farm 2895 Bradshaw Rd. Mooresville, NC 28115 704-661-6269

Only upon receipt of both your deposit and registration form, will enrollment in summer camp be complete. Camps fill quickly. If a requested session is full, you will be informed of other weeks that are available. Once enrolled, the deposit is non-refundable. You also need to submit a Fox Hollow Farm Liability Waiver, Medical Form and tuition balance before June 1st.

Please contact Lee Ann Weber at 704-661-6269 or with any questions or to set up a guided barn tour.

Date(s) of camp(s) ______Registration mailed on______

Amount of deposit______( $100 x # of camp sessions = total deposit)

Thank you for choosing Fox Hollow Farm Horsemanship Camp!

CEDARHILL FARM