Summer Camp enrollment form

Cedar Lane Stables
Summer Day Camp
Enrollment Form

Student’s Full Name (First, Middle, Last) ______________________________________
Student's Age ______________
Mailing Address ________________________________________________________
City, State, Zip _________________________________________________________
Mother’s Name_______________________ Father’s Name_______________________

Home____________________________
Mom’s Cell________________________
Dad’s Cell ________________________

Important Telephone Numbers:

How did you hear about us? _________________________________________________ _______________________________________________________________________

Session(s) to attend (Circle all that apply):

Deposit Enclosed $____________

Remember that your camper must bring with them on the first day:

Liability Waiver (signed by both parents)
Balance Due for camp ($200)
Sack Lunch (we will provide drinks and snacks)
Change of Clothes (Come in riding attire, bring shorts for water play!)

Mail this form and payment to: Cedar Lane Stables, 20520 Cedar Lane , Tomball TX 77377

The price for camp is $285.00
The nonrefundable deposit is $85 for each week selected. In case of emergency or illness, we will transfer your deposit to another camp date or for riding lessons within 60 days of the scheduled camp.

Camp enrollment form and deposit for all camps is due by Friday June 4, to ensure your spot is reserved. Medical treatment authorization and Physicians release is due the Friday before your camp starts. Please include with this form, any medical conditions we need to be aware of, and any medication your child will be taking during camp hours: _____________________________
_________________________________________________________________________

Parent's Work Numbers
Mother ________________________
Father _________________________

Email Address________________________________________