2008 Camp Registration Form




Name of Camper:_______________________________________________

Age of Camper:__________Birthdate:______________

Height:_________________Weight:________________

Parent/Guardian's Names:_______________________________________

Address:______________________________________________________

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Phone Number:___________________E-mail:________________________

Camp Dates Attending:__________________________________________

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Level (circle one):     Beginner             Intermediate           Advanced

Please describe riding level in more detail:________________________

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______________________________________________________________

Concerns (Allergies, Medicines, etc.):_____________________________

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Is there any other information about the camper that we should know?

______________________________________________________________

______________________________________________________________

To register for camp:

E-mail:         
Julie McCutcheon
Phone:        (301) 271-4133
Mail completed form to:             Breezy Hill Stables
                                                       15117 Mud College Rd.
                                                       Thurmont, MD 21788
Breezy Hill Summer Camp
Registration Form
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