C-Line 2021 Summer Camps presented by The CENTER at C-Line Stables

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Please complete this form to register your child for C-:Line 2021 Summer Camp presented by the CENTER at C-Line Summer Camp(s). A deposit of $100 will need to be mailed or a payment made to our paypal account to reserve your spot

Camper's Last Name *

Camper's First Name *

Camper's Date of Birth *

YYYY

Address *

Parent Cell Phone *

Parent E-mail Contact *

Camp(s) you are registering for (FYI most camps are now full. Camps that still have openings are listed below) *

Little Farmers Ages 4-6 August 16-20, 2021 9am-12pm $175

Tiny Trotters Ages 5-9 July 5-9, 2021 8am-2pm $295

Required

Emergency Contact Information Name, Phone number, relation to camper *

Second Emergency Contact Information Name, Phone number, relation to camper *

Any Medical Diagnosis, Medication, or Allergies please list here *

Doctor Name and Phone Number *

Please tell us about the camper's farm and riding experiences *

How are you paying your deposit? *

Mailing a check for $100 made out to The CENTER to The CENTER 3491 Harris Road Townsend, DE 19734

$100 Deposit to the CENTER paypal account (QR code below or can find link on website)

Thanks for completing the registration, if you have any questions or other things you would like us to know about the camper please list below. You can also email us at thecenteratclinestables@hotmail.com. We will send you a confirmation via e-mail when we receive your deposit.

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