Willington Hills Summer Riding Program Sign Up Form
Full Day Sessions |
Half Day Sessions |
| [ ] Half Day Session 1: July 19 - 23 | |
| [ ] Session 2: July 12 - July 16 | [ ] Half Day Session 2: Aug 16 - 20 |
| [ ] Session 4: Aug 2 - Aug 6 | Half-day campers may join full day sessions if space |
| [ ] Session 5: Aug 9 - 13 | is available. Call to ask. |
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Parent's Name
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Child's Name
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Child's Age Parent's Email Address
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Addess Line 1
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City, State, Zip
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Phone Number (Days)
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Phone Number (Evenings)
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Cel Phone Number
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Emergency Contact Name
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Emergency Phone Number(s)
I, _____________________________, do / do not give permission to Willington Hills staff to take pictures of ______________________.
Signature ______________________________Please return to:
Willington Hills Equestrian Center
34 Cemetery Road
Willington, CT 06278