PRAIRIE SKY GUEST & GAME RANCH
GIRLS HORSE CAMP
REGISTRATION SHEET

Girls Ages 9-16
Cost $1175 is all inclusive

DATE ATTENDING: _______________________________________________________________

CAMPER'S NAME: ________________________________________________________________

ADDRESS: ______________________________________________________________________

CITY: _________________________STATE: _______________ZIP_________________________

PHONE NUMBER: ________________________________________________________________

PARENT'S NAMES: _______________________________________________________________

PARENT'S PHONE NUMBERS: _____________________________________________________

AGE OF CAMPER (Must be between the ages of 9-16):________DATE OF BIRTH:____________

RIDING EXPERIENCE: ___________________________________________________________

Beginner, Intermediate, or Advanced __________________________________________________

DEPOSIT INFORMATION $300.00 (CC INFO OR SENDING CHECK): ____________________

Check___________________________________________________________________________

Credit Card: Visa or Mastercard/Discover_______________________________________________

Card Number __________________________ Expiration Date____________ CVC Code_________

HOW DID YOU LEARN ABOUT THE OUR GIRLS HORSE CAMP?: _______________________

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MEDICINES/MEDICAL INFO COUNSELORS NEED TO BE AWARE OF:___________________

________________________________________________________________________________

ANY OTHER INFORMATION WE NEED TO BE MADE AWARE OF REGARDING THE CAMPER:

_______________________________________________________________________________

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EMERGENCY PHONE NUMBERS:__________________________________________________

Mail to: Prairie Sky Guest & Game Ranch, 44370 109th Street, Veblen, South Dakota 57270