Quail Ridge Farm
Horsemanship Camp Online Application

$375 per child

Child's name:

Your name:

Child's preferred name:

Horsemanship Camp Session:

Summer I 2011 - June 6-9, 2011 - $375

Your level of riding?
Walk-Trot but No Canter
Walk-Trot-Canter
Crossrails
Intermediate 2'
Advanced 2' plus
'None'

Mailing Address:

Home Phone Number:

Alternate Phone Number:

Email:

Deposit ($150): (Application is not complete without deposit of $150.)
Check
Mastercard
Visa
American Express

Credit Card Number:

Expiration:

Three digit security code:

Do not submit credit card information via e-mail.

Please mail completed form with deposit to:
Quail Ridge Farm
620 Tabby Linch Road
Moreland, GA 30259