CREDIT CARD RIDING CAMP ENROLLMENT FORM
Briar Fox Farm - Summer 2011

 Name: Age:
 Address:
 City: St: Zip:
 Parent/Guardian Name:
 Home Phone:
 Work Phone:
 
Below please check the sessions(s) you wish to attend:

Session 1H: $250

Session 2H: $250

Session 3H: $250

I am bringing my horse to the Camp-Fee $80 per session

Read, fill in signature line below and submit this form with your credit card info.

 I understand that I am to submit this enrollment form and pay the full fee. Payment in full will reserve a horse and instructor for the session(s) indicated above.  I further agree to drop off and pick up the camper according to the time schedule for the half day session.  I further agree to dress in long pants and boots with a 1" heel for the mounted sessions (shorts may be worn after riding during HOT weather).  I further agree for the half day session to provide a snack and cold drink for the camper.  I further agree for the full day session to provide a snack, sack lunch and cold drinks for the camper.  I further agree that upon arrival the first day of camp I will sign a liability release form and provide a medical release form for my child or myself in case of an emergency.  These forms may be signed in advance or at 7:45am on the 1st day of camp.  My typed in signature below indicates that I have read, understand and agree to the terms and information specified above.  NO REFUNDS. 

 Name/Signature:
                                        (parent or legal guardian)

 Name on Credit Card:

 Credit Card #:

 Credit Card Expiration Date: