This is our primary contact, please print neatly

​​​​   2021 Rockin' Horse Stables Summer Camp Registration

  Circle Desired Camp Date;


​Campers Name  _______________________________________________

  *If possible pleaseplace in a group with__________________________________  

​Campers Age _______ 

​Prior Experience _________________________________________


​Contact Name ___________________________________________

​Address ________________________________________________

Home Phone____________________  Cell_____________________

email address _______________________________________________________________

How did you hear about our camps? _____________________________________________

2021 camp fee is $300.

**The camp fee reserves your spot in camp and is nonrefundable.


Make checks payable to Rockin' Horse Stables

Mail to;  Rockin' Horse Stables

              204 Climo lane

              Zelienople Pa. 16063

   ​*There will be a $30 charge for any returned check.