It's all about Family...Friends....and Fun!!

Please provide the following information. This information will NOT be shared with anyone and will be used to complete the necessary forms for attending camp.

Parents' Name(s):  

Address (1):  

Address (2): 

City:      State:     Zip: 

Email:  

Home Phone:   

Mother's Cell:     Mother's Work: 

Father's Cell:      Father's Work:  

Child's Name:  

Child's Age:         Years Riding: 

Choose from the following sessions:

  Session 1: May 26 - 30, 2008

  Session 2: June 23 - 27, 2008

EMERGENCY CONTACT INFORMATION

the following information will be used when parents cannot be reached:

Physician's Name:  

Physician's Phone:  

Alt. Contact 1: 

Relationship: 

Home Phone:     Cell Phone: 

Work Phone: 

Alt. Contact 2: 

Relationship: 

Home Phone:     Cell Phone: 

Work Phone: 

Please use the space below to provide us with any comments, suggestions, or additional information you feel will help us ensure a fun and successful camp week for your child:

Finally...how did you hear about our camp program?

News Paper Camp Flyer Friend Have attended camp before Other

Permission slips and waivers will be completed using the above information and ready for your signature during camp registration.

Thank you for choosing Westwind to include in your summer activities!!!