PRAIRIE SKY GUEST & GAME RANCH
GIRLS HORSE CAMP
REGISTRATION SHEET

Cost $875 is all inclusive

DATE ATTENDING: _____________________________________________________

CAMPER NAME: ________________________________________________________

ADDRESS: _____________________________________________________________

CITY: _________________________STATE: _________________________________

ZIP CODE: _____________________________________________________________

PHONE NUMBER: _______________________________________________________

PARENTS NAMES: ______________________________________________________

PARENTS PHONE NUMBERS: ____________________________________________

AGE OF CAMPER: _______________________________________________________

RIDING EXPERIENCE: ___________________________________________________

Beginner, Intermediate, or Advanced ___________________________________________

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

Check___________________________________________________________________

Credit Card: Visa or Mastercard____ Card Number _______________Expiration Date_____

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:
________________________________________________________________________

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EMERGENCY PHONE NUMBERS:__________________________________________

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