File - Fina Vista Farm

Fina Vista Farm
1008 Tuftsville Road, Stirling, ON, K0K 3E0,
ph: 613 395 9876, mobile/text: 519-829-6161
[email protected]
www.finavistafarm.ca
Camp Fina Vista Registration:
Dates: (please check what you would like):
( ) July 27th-31st, 2015 ( ) August 10th-14th, 2015
Camper Info:
Name of Camper: ___________________________________ Age:_______ Riding
Experience:___________________________________
Allergies/medical concerns:__________________________________________
Extended Care required? (please specify time request for pick-up and drop-off)
________________________________________________________________
Cost:
$250.00 (tax incuded) per camper
10% discount if registered and 50% deposit paid by May 31st.
10% discount for each additional sibling(s)
( ) I have included a cheque payable to Camilla Willings
( ) I have emailed payment to [email protected]
( ) I will pay at a later date
Camper Family Contact Info
Address:________________________________________________________
Email: _________________________________________________________
Name and phone number(s) of Primary Contact:
___________________________________________________________________
Name and Phone number(s) of Secondary Contact:
___________________________________________________________________