Little Neshannock Stables
Equestrian Camp Registration Form 2010
Name:
Address:
Birthdate:   Phone:
Returning LNS Camp Rider?  Yes   No
Email:
Camp Session:
Pony Pals Hunter Camp
Beginner Rider Mounted Archery
Adv. Beginner / Intermediate Rider Grownup's Play Date
Session Dates: 1st choice: 
2nd choice:
List your horse experience:


Deposit Enclosed (deposit must accompany form)
$125 (regular camps) 
$65 (Pony Pals)  		 

$10 DISCOUNTS available for week long camps:

Returning 2009 Camper?

 Yes    No

Two or more students from same family?

 Yes    No

Bringing a friend new to LNS? Enclose registration with yours.

 Yes    No

Early bird Registration postmarked by 5/ 1/10

 Yes    No

Confirmation Packet will be mailed upon receipt of deposit.

Registration Form - please print, complete, and mail along with your deposit check made payable to:

Little Neshannock Stables Camps
1145 Fayette New Wilmington Road
New Wilmington, PA 16142		   Phone: 724-946-2399
           412-291-1217 fax