Time Stock Farm Registration Form

Time Stock Farm 2011 Summer Horse Camp
Registration Form

For on-line registration: CLICK HERE

Please PRINT clearly...

(Please use a separate form for each child's registration.)

CHILD'S NAME	ADDED SIBLING (Qualifies for 50% Discount)

AGE

PARENT or GUARDIAN

PHONE

ADDRESS

CITY, STATE and ZIP

		Price	Total
RIDING CAMPS (Ages 8 to 15)
	#1 - June 13 - 17 (9 am to 12 noon)	1st Child: $350	________
		Sibling: $175	________

	#2 - July 18 - 22 (9 am to 12 noon)	1st Child: $350	________
		Sibling: $175	________

HORSE CARE AND RIDING (Ages 10 to 15)
	#1- June 20 - 24 (8 am to 12 noon)	1st Child: $400	________
		Sibling: $200	________

	#2- July 25 - 29 (8 am to 12 noon)	1st Child: $400	________
		Sibling: $200	________

PONY CAMP (Ages 5 to 8)
	#1- August 1 - 5 (10 am to 12 noon)	1st Child: $300	________
		Sibling: $150	________
PARENT PARTICIPATION PROGRAM
	#1- August 1 - 5 (9 am to 10 am)	$25	________
CAMP T-SHIRT (Circle size) (Shirts are delivered at camp, not mailed.)
	Child size: Sm Med Lg XL Adult size: Sm Med Lg XL	$15	________

	AMOUNT ENCLOSED:		________
	CHECK#:		________

Deadline for Registration is One Week Prior to each Camp.
Cancellations are subject to a $50.00 fee unless a replacement is found.

Make check payable to JUDY GERHARD
and mail with this form to:

TIME STOCK FARM
1340 WHISPERING PINES DRIVE
MEADOW VISTA, CA 95722