| 2012 Rockin' Horse Stables Summer Camp Registration |
| Which camp would you like to register for? June 25-28 July 9-12 July 23-26 August 6-9 |
| Campers Name ________________________________________________________ |
| Address ______________________________________________________________ |
| Contact Name _________________________________________________________ |
| Home Phone ________________________ Cell ______________________________ |
| email address __________________________________________________________ |
| Campers Age________ |
| Prior Experience __________________________________________________ |
| _____________________________________________________________________ |
| Make checks payable to Rockin' Horse Stables |
| 2012 Camp fee is $250. The camp fee reserves your spot in camp and is nonrefundable. |
| Mail to; Rockin' Horse Stables |
| 204 Climo lane |
| Zelienople Pa. 16063 |