ENGLISH CAMP SIGN UP
DATE: June 21-23, 2011 or August 16-18, 2011
LOCATION: Wildwind Farm, 16525 N. Hwy. 21, Republic, WA
COST: $165, make checks payable to Wildwind Farm
LIMIT: First 14 sign ups received will be accepted. All others will be put on a waiting list. No refunds unless Wildwind Farm cancels the camp, or your spot can be filled from the waiting list.
CONTACT FOR MORE INFORMATION:
(509) 690-1399 or
www.melinda@tzonetraining.com
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Name of Participant:_________________________________
Age:___ Phone:_______________ Email:________________
Address:___________________________________________
City, State, Zip:_____________________________________
Name of Parent:____________________________________
Signature (Parent if under 18:)_________________________
Stabling @ $10/Day (Night) ___ YES ____ NO (Include with entry)
T-Shirt Size ____________
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By signing this form, the above named participant and parent (if applicable) agrees that horses, riding and related activities are dangerous. The above named participant and parent (if applicable) also agrees that WILDWIND FARM, INC., their employees, agents, heirs, or assigns, will be held harmless from liability from any and all injuries which participant and/or horse may sustain from any cause whatsoever while using the WILDWIND FARM, INC. facilities, or participating in any event or other horse related activity whatsoever at said facilities.
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