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Veterans Day Camp Registration 2019
Camp Date(s):
Monday, November 11th for under 6-14 years old | 8 am - 4 pm
Cost $60/per child
Location: Reins of Rhythm (arena) 4035 McClays Mill Road, Shippensburg, PA 17257
Contact us at :
Info@reinsofrhythm.org
or message us via Facebook Facebook.com/ReinsofRhythm
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Parent or Guardian Name
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Your answer
Participant (Rider) Name
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Your answer
Participant (Rider) Age
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Your answer
Email
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Your answer
Phone Number
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Your answer
Street Address
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City
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State
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Zip Code
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In Case of Emergency Contact Name:
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In Case of Emergency Contact Number:
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Name of person picking child up from camp:
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Allergies ( If there are food allergies or sensitivities, please send a lunch & snack with your child)
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Medical Concerns and/or Special Needs
Your answer
Photo Release:I hereby consent to and authorize all photographs to be used in Reins of Rhythm Riding & Horsemanship publications, Reins of Rhythm social media outlets and/or websites. I also consent and authorize the use and reproduction of any photographs taken of me, or my son/daughter, or ward for promotional printed material or educational activities.
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I Understand that I must submit all required uploaded or mailed as necessary) & that I must pre-pay to reserve day camp spot. By selecting "YES" I agree that all of the above information is valid to the best of my knowledge & this will serve as my "e-signature" for the registration & release information.
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Select Form of Payment (Payment required to hold spot. No refunds. Should VALID cancellation be needed refund will be in the form of a Reins of Rhythm gift certificate at same value)
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Pay Pal (Send to:
billing@reinsofrhythm.org
)
Mail Check (Payable: Reins of Rhythm Mail to: 4035 McClays Mill Road, Shippensburg, PA 17257)
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Thank you from all the volunteer staff at Reins of Rhythm!
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