APRIL VACATION RIDING CAMP REGISTRATION

ALL FIELDS MUST BE FILLED IN

NAME:
 PHONE:
 EMAIL:
  
ADDRESS:
 CITY:
 STATE:
 ZIP:

PROGRAM INFORMATION:RIDING HELMET, LONG PANTS AND PROPER RIDING  BOOTS ARE REQUIRED.click for more info

PLEASE DRESS ACCORDING FOR THE WEATHER. PLEASE BRING A SNACK, LUNCH & WATER

   
RIDING LEVEL FOR RIDING PROGRAM:  
NAMES /AGE OF CHILD/COMMENTS (MUST BE 6 YRS AS OF APRIL 1ST 2010 OR OLDER)

CREDIT CARD INFORMATION:
April vacation program must be paid in full upon registration. IF YOU HAVE QUESTIONS  email  lilfolkfarm@verizon.net

PROGRAM ENROLLMENT IS NON-REFUNDABLE  

NAME ON CARD:
choose payment type:  
CREDIT CARD NUMBER:
EXPIRATION DATE:
BILLING ADDRESS:  
SECURITY CODE (back of card):