Camp Registration
The Circle T Ranch.com  13250 Willow rd
Lakeside Ca. 92040    619 312 0544

Camper Name: ______________________Age__________

Street Address: _____________________________City: ___________________

State:______ Zip:________ Home Ph: ( )_____________Cell:_____________

Parent 1 Name: ___________________ Parent 2 Name:___________________

Work Phone: (___)________________ Work Phone: (___)________________

Cell Phone: (___)_________________ Cell Phone: (___)__________________

Alternate Emergency Contact Name: ________________________________

Phone : (___) ______________ Cell : (___) _______________

HEALTH HISTORY:

Camper’s general health (list any conditions or illnesses, allergies and medications): _____________________________________________________________________

Where Did You First Hear of Circle-T-Ranch Horse Camp?

___San Diego Family Magazine ___Internet/Website ___Mail ___Friend

Registration/Fees:

Full Day Session: $350 - $125 deposit

Half Day Session:$200 - $100 deposit

Deposit to accompany your child’s reservation. Balance to be paid upon arrival.
This includes all instruction, activities, events, and awards.

2009 Camp Sessions

Please Circle Riding Experience:

Please dress in suitable attire (long pants, t-shirts, hat, sneakers or boots)
Bring sunscreen lotion, water bottle, and insect repellant. Camera sunglasses, and
shorts are optional. Label all items.

Circle-T-Ranch is not responsible for lost or stolen personal belongings or equipment
required to attend camp. Backpack requested to hold belongings.

I have read and signed the accompanying release of liability.

Parents:_________________________________________ Date:_________________

For Office Use Only

Ck. #___________ Date____________ Session #___________

Deposit amt.________________ Balance due_____________