Horse Lessons Registration - Path of Life Camp

2013 Horse Lessons Registration Form

Required Name:	MaleFemale
Date of birth:*	(MMDDYYYY)
Address:*
City:*
State:*
ZIP code:*
Phone:*	(2223334444)
Email:

Please select the lessons you are planning to take:*

Beginner (6 weeks)	9:30am – 11:00am	Saturdays - April 27, May 4, 11, 18, 25, June 1	Ages 6+* Class is full
Beginner (6 weeks)	1:30pm – 3:00pm	Saturdays - April 27, May 4, 11, 18, 25, June 1	Ages 8+ Class is full
Beginner (6 weeks)	4:30pm – 6:00pm	Tuesdays - April 23, 30, May 7, 14, 21, 28	Ages 8+ Class is full
Advanced (6 weeks)	11:00am – 12:30pm	Saturdays - April 27, May 4, 11, 18, 25, June 1	Ages 10+**
Advanced (6 weeks)	4:30pm – 6:00pm	Thursdays - April 25, May 2, 9, 16, 23, 30	Ages 10+**

*No trails for young riders
**Beginner class must be completed before taking the Advanced class

Emergency contact information

Cell:	(2223334444)
Work:
Other:

In case of emergency: I understand every effort will be made to contact me. However,
if I cannot be reached, I give permission for the physician selected by the camp director
to secure proper medical treatment for my child.

By submitting this registration: I give my permission for the camp to use my child's
photograph in camp promotional information.