Larkspur Farm - 2008 Summer Camp Registration Form

Please print and mail the Registration Form with a $100 non-refundable check to:

Larkspur Farm
93 Silver Spring Road
Wilton, CT 06897

2008 SUMMER CAMP REGISTRATION FORM

Rider's Name ______________________________________________________________

Rider's Birthdate _________________________________________________________

Address ___________________________________________________________________

Home Phone __________________________ Work Phone __________________________

Email _____________________________________________________________________

Please check all that apply:

Session Dates:

____ 6/16 – 6/26 ____ 7/28 – 8/07

____ 6/30 – 7/10 ____ 8/11 – 8/21

____ 7/14 – 7/24

First Time Rider:

____ Yes ____ No

Attending Camp:

Four times per week

____ Monday - Thursday

Two times per week

____ Monday & Wednesday

____ Tuesday & Thursday

Full payment of camp balance is due by June 1, 2008. We cannot reserve your child's camp dates with any unpaid balances.