2017 Summer Camp Application
Cougar Mountain Stables Summer Camp!
Email address
Camper's First Name
Your answer
Camper's Last Name
Your answer
Age
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Parent Name
Your answer
Parent Cell Phone #
Your answer
Street Address
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City
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State
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Zip
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Best Email Address
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How did you hear about us?
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Alternate Emergency Contact Person (Other than Parent. i.e., Grandparent, Aunt/Uncle, Nanny, etc.)
Your answer
Alternate Emergency Contact Phone Number
Your answer
Does your child take any medications or have any health concerns or alergies we should be aware of?
Your answer
My Child has the following riding experience:
Your answer
I have two or more siblings signing up
Please sign my child up for
SUMMER CAMPS 2017: Please sign my child up for the following camp(s) Please select ALL that apply.
SUMMER CAMPS 2017: If my first choice is NOT available, please sign my child up for the following camp(s) Please select ALL that apply.
I will be making my NON REFUNDABLE $150 Deposit to Complete My Registration with:
When finished with your application, please follow the link to make a payment. Your spot is not guaranteed unless the deposit is made within 24 hours of your application.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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