Cedar Lane Stables
Spring Break Riding Camp March 15-19, 2010
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? _________________________________________________ _______________________________________________________________________

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)

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

The nonrefundable deposit is $75. In case of emergency or illness, we will transfer your deposit to a summer camp or for riding lessons within 60 days of the scheduled camp.

Camp enrollment form and deposit is due by March 1st. Medical treatment authorization and Physician's release is due by the Friday before camp (March 12). (If you came to camp last summer, your medical release is on file.) 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________________________________________

Please make Checks payable to Cedar Lane Stables