Path of Life Camp
53 Winn Hill Road
Port Crane, NY 13833

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Horse Lessons Registration Form

Name:__________________________ Gender: M / F Date of Birth: ___ /___ /_________
Email:________________________
(optional)
Phone: (_____) _____ - _________   
Address:_____________________________________________________________________________
City:______________________________________ State:____ZIP:__________
Please select the lessons you are planning to take:
Spring Session
Group Lessons
Beginner/Saturdays9:30am – 11:00amApril 29, May 6, 13, 20, 27, June 38+$60/six lessons
Beginner/Saturdays1:30pm – 3:00pmApril 29, May 6, 13, 20, 27, June 38+$60/six lessons
Advanced/Saturdays11:00am – 12:30pmApril 29, May 6, 13, 20, 27, June 310+*$80/six lessons
*Beginner class must be completed before taking the Advanced class
Private Lessons
WeekdayTimeDatesPrice
Tuesdays4:00 – 4:30pmApril 18, 25, May 2, 9, 16, 23, 30, June 6, 13$10/lesson per student
Tuesdays4:30 – 5:00pmApril 18, 25, May 2, 9, 16, 23, 30, June 6, 13$10/lesson per student
Tuesdays5:00 – 5:30pmApril 18, 25, May 2, 9, 16, 23, 30, June 6, 13$10/lesson per student
Tuesdays5:30 – 6:00pmApril 18, 25, May 2, 9, 16, 23, 30, June 6, 13$10/lesson per student
Tuesdays6:00 – 6:30pmApril 18, 25, May 2, 9, 16, 23, 30, June 6, 13$10/lesson per student
Tuesdays6:30 – 7:00pmApril 18, 25, May 2, 9, 16, 23, 30, June 6, 13$10/lesson per student
 
Thursdays4:00 – 4:30pmApril 20, 27, May 4, 11, 18, 25, June 1, 8, 15$10/lesson per student
Thursdays4:30 – 5:00pmApril 20, 27, May 4, 11, 18, 25, June 1, 8, 15$10/lesson per student
Thursdays5:00 – 5:30pmApril 20, 27, May 4, 11, 18, 25, June 1, 8, 15$10/lesson per student
Thursdays5:30 – 6:00pmApril 20, 27, May 4, 11, 18, 25, June 1, 8, 15$10/lesson per student
Thursdays6:00 – 6:30pmApril 20, 27, May 4, 11, 18, 25, June 1, 8, 15$10/lesson per student
Thursdays6:30 – 7:00pmApril 20, 27, May 4, 11, 18, 25, June 1, 8, 15$10/lesson per student
Fall Session
Not yet available
Emergency Contact Numbers: (optional) 
Mobile:(_____) _____ - _________
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.

Signature: __________________________________Date:___________________