CAMP ENTRY FORM
NAME:
ADDRESS:
PHONE NUMBER:
PARENT/GUARDIAN:
WEEK(S) ATTENDING CAMP:
AGE:
ABILITY: (PLEASE CIRCLE) BEGINNER
ADVANCED BEGINNER INTERMEDIATE ADVANCED
A $100 NON-REFUNDABLE deposit is due at the time of sign up. Please make the check payable to: Auclair’s Riding Ranch
Mail entry form and check to
Heather Auclair
4668 Route 116
Shelburne, VT 05482