Summer Day Camp Registration Form

The camp cost is $500 for 5 day sessions and $300 for 3 day sessions.
Payment is due upon registration.

Print out and complete the following form.

Camper's Name

 _________________________

Date of Birth

 _________________________

Height

 _________________________

Parent's Name

 _________________________

Mailing Address

 _________________________

 

 _________________________

 

 _________________________

Phone

 _________________________

E-Mail

 _________________________

Session
____ June 28 - July 2
____ July 12 - 16
____ July 26 - 30
____ August 2 - 4 (3 day)
____ August 9 - 13

T-Shirt Size
____ Child S (6-8)
____ Child M (10-12)
____ Child L (14-16)
____ Adult M
____ Adult L

Riding Experience
____ Beginner - Very little to no experience with horses.
____ Beginning Intermediate - Some experience. Can walk and trot without assistance.
____ Intermediate - Comfortable around horses. Can canter without assitance. Has had lessons before.
____ Advanced - Very comfortable on and around the horses. Rides regularly.
____ Expert - Has been to the Olympics. Can teach the staff a thing or two.

How did you hear
about us?

 _________________________

Send completed form with full payment to:

Acacia Farm
1540 W. Snoqualmie River Rd NE
Carnation, WA 98014

Acacia Farm Cancellation Policy: A full refund will be provided if you cancel before June 1st. After June 1st, a 50% refund will be issued if the spot can be filled by another camper.