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PRAIRIE SKY GUEST & GAME RANCH Girls Ages 9-16 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?: _______________________ ________________________________________________________________________________ MEDICINES/MEDICAL INFO COUNSELORS NEED TO BE AWARE OF:___________________ ________________________________________________________________________________ ANY OTHER INFORMATION WE NEED TO BE MADE AWARE OF REGARDING THE CAMPER: _______________________________________________________________________________ _______________________________________________________________________________ EMERGENCY PHONE NUMBERS:__________________________________________________ Mail to: Prairie Sky Guest & Game Ranch, 44370 109th Street, Veblen, South Dakota 57270
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Dakota USA All prices are subject to change and do not include applicable taxes. info@prairieskyranch.com | |