MADISONVILLE EQUESTRIAN CENTER
ONE and  FOUR DAY CAMPS BEFORE AND AFTER CARE REGISTRATION


NAME:  _______________________________________


ADDRESS:  ____________________________________


PHONE: _______________________________________


WEEKLY RATE AS FOLLOW:
ONE DAY CAMP $
25.00
$1
25.00 PER WEEK
7:30 AM TO 9:00 AM;   3:30PM TO 5:30 PM:  _______
HOURLY RATE:  $
12.00 PER HOUR

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

CHECK:  _________________________

CASH:  __________________________