Horse Lessons Registration - Path of Life Camp

2012 Horse Lessons Registration Form

Required Name:	MaleFemale
Date of birth:*	(MMDDYYYY)
Address:*
City:*
State:*
ZIP code:*
Phone:*	(2223334444)
Email:

Please select the lessons you are planning to take:*

Beginner (4 weeks)	9:00am – 10:30am	Saturdays - May 5, 12, 19, 26	Ages 8+
Beginner (6 weeks)	1:00pm – 2:30pm	Saturdays - April 28, May 5, 12, 19, 26, June 2	Ages 5+*
Beginner (6 weeks)	4:30pm – 6:00pm	Tuesdays - April 24, May 1, 8, 15, 22, 29	Ages 8+
Advanced (4 weeks)	10:30am – 12:00pm	Saturdays - May 5, 12, 19, 26	Ages 10+**
Advanced (6 weeks)	4:30pm – 6:00pm	Thursdays - April 26, May 3, 10, 17, 24, 31	Ages 10+**

*No trails for young riders
**Beginner class must be completed before taking the Advanced class

Emergency contact information

Cell:	(2223334444)
Work:
Other:

In case of emergency: I understand every effort will be made to contact me. However,
if I can not be reached, I give permission for the physician selected by the camp director
to secure proper medical treatment for my child.

By submitting this registration: I give my permission for the camp to use my child's
photograph in camp promotional information.