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: ___________________________________________________________________
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