Registration & Deposit Form
Rockin’ Horse Farm
2015 Summer Camp
Child's Name__________________________________ Age____
Riding Experience? YES___ NO___
T- shirt size? YOUTH S____ M____ L_____ ADULT S____ M____ L____
XL____
Parent or Guardian__________________________
Address______________________________________________
Home Phone___________________ Work Phone_____________________
Cell Phone______________________Email____________________________
Kid’s Camp
Cost: 1 week $250, 2 weeks $450
(Please make checks payable to Rockin’ Horse Farm, LLC)
Ages 5 to 12 9 AM -3 PM Monday –Friday
Please circle the weeks your child will be attending.
Special Needs Camp
Cost $125
9 AM -Noon Monday –Friday
Aftercare available by appointment only!Call Katie to schedule 828-550-5578
A 25% deposit is required to reserve your child's spot by May 18th and is
a non-refundable deposit. Full Payment is due by May 31st.
Mail one registration form per child attending.
Please check here if you will be requesting a $25 discount on second and subsequent
children attending ____
Mail forms and payments to:
Rockin' Horse Farm, LLC
8118 Plathe Rd
New Port Richey, FL 34653
Thank you, we appreciate your business!