Willington Hills Summer
Riding Program Sign Up Form
Session Dates for 2012: (Check the sessions you're applying
for)
Full Day Sessions ($400) |
Half Day Sessions ($225) |
| [ ] Session 1: July 9-13 |
[ ] Half Day Session 1: July 16-20 |
| [ ] Session 2: July 23-27 |
[ ] Half Day Session 2: July 30-Aug 3 |
| [ ] Session 3: Aug 6-10 |
[ ] Half Day Session 3: Aug 13-17 |
| Half-day campers may join full day sessions if space is available. Call to ask. (860) 684-4849 |
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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
______________________________
Date of Signature ________________________
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Please return to:
Willington Hills Equestrian Center
34 Cemetery Road
Willington, CT 06279 |
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