REGISTRATION FORM FOR CAMPS
Phone:______________ Work Phone:______________ Cell Phone:____________________
Email Address: __________________________________________________________
Describe Previous Riding Experience:_________________________________________
List Session Numbers you wish to attend:____________________
Pre-registration fee: $100.00 per rider per week (non-refundable, to be subtracted from remainder of clinic fee due on the first day of clinic).
Registration fee enclosed? ____________
Hold Harmless form with both parent’s signature enclosed? (if not already on file)______
Students are required to wear SEI/ASTM approved helmets, pants, shirts with short sleeves and boots with a small heel while riding.
Send form with payment [check made out to: SHEA-ROSE FARM, Inc.]
2411 Waxhaw Marvin Road
Waxhaw, NC 28173
Any questions please email at firstname.lastname@example.org. Visit us on the web at: www.shearosevaulters.org or www.shearosefarm.com.