MADISONVILLE EQUESTRIAN CENTER

FIVE DAY CAMP'S BEFORE AND AFTER CARE REGISTRATION


NAME:  _______________________________________


ADDRESS:  ____________________________________


PHONE: _______________________________________


WEEKLY RATE AS FOLLOW:

$50.00 PER WEEK
7:30 AM TO 9:00 AM;   2:00 PM TO 5:30 PM:  _______
HOURLY RATE:  $5.00 PER HOUR

DATES REQUIRED:  ________________
Please Sign Your Child In And Out Each Day.
METHOD OF PAYMENT

CHECK:  _________________________

CASH:  _________________________
.