*Note* Please print out this application - fill in the required
information and mail it to the address at the bottom of this form. Thanks.
- June 18 - 22 ................Day Camp $500.00
- June 25 - 29 ............Day Camp $500.00
- July 2 - 6 ........................Beginner Day Camp $300.00
July 9 thru August 17
$25.00 deposit required with application. Balance of lesson fee due by July 9.
A non-refundable deposit of $50.00 per week is required with the application. In order to maintain our small enrollment, no camp fees will be refunded or credited after June 15, 2018. For more information on availability email email@example.com
Do you require a special diet?_________________________________
How did you learn of Holiquin Camp?_____________________
Dates you wish to attend camp:__________________________
Do you have a hard hat with chin strap?__________________
Do you wish to rent a hard hat at $5.00 per week?________
Do you wish to bring your own horse to camp?______________
Number of weeks you wish to attend camp:________________
Has child had usual childhood diseases?_______________ If "no",
** I give my consent for emergency medical treatment from a physician or local hospital in the event that my child is injured or becomes ill during his/her stay at camp. I also give my permission for this child to be transported to and from field trips and other camp related activities.
A Horse Riders Release must be signed by both parents before the child may attend camp.
Holiquin Riding Center
15052 Wingerton Road
Waynesboro, PA 17268
Upon receipt of these forms and your registration fee, you will receive an acknowledgement from us.