If interested in Liberty Bell Farm's winter riding camp you may print the below registration form and mail it to us or call for more information.
2008 Registration Form
Name of Camper: ___________________________ M____ F____
One child per form, please.
Birth Date:___/___/___ Grade (as of 9/08): ________
Shirt Size: __________
Billing Name: ___________________________
Address:________________________________________
Phone Numbers: Home: ( ) -
Work: ( ) -
Cell phone: ( ) -________ _
Email Address: ____________________________________________________________
Alternate Contact: ( ) -___________________
Name Phone
|
Days Attending Camp |
Cost |
Enclosed |
|
December 29, 30, and 31 |
$150.00 |
|
|
Indicate Day or Days ___________________ |
$60.00 per day |
|
| 
