Please enroll me for:

□ Week 1  (Jun 15 - Jun 19) Beg/Adv Beg (FULL)
□  Week 2  (Jun 22 - Jun 26)  Beg/Adv Beg(FULL)
□  Closed (Jun 29 - JUL 03)

□  Week 3  (Jul 06 - Jul 10) Beg/ Adv Beg ( FULL)
□  Week 4  (Jul 13 - Jul 17) Novice   (FULL)

□  Week 5  (Jul 20 – Jul 24) Beg/Adv Beg (FULL)

□  Week 6  (Jul 27 - Jul 31) Adv Beg/Novice (FULL)
□  Week 7  (Aug 3 – Aug 7)  Beg/Adv Beg (FULL)
□  Week 8  (Aug 10- Aug 14) Beg/Adv Beg

$250 per week

Amount enclosed $________

Print out this page and mail your
application and check to:

              Double R Stables
            4803 Lon Parker Rd.
             Waxhaw, NC 28173

Phone: 704-226-6817
Email: doublerstable@windstream.net

First name___________________Last name___________________________________
Age____M/F____Phone #________________________Cell #_____________________
Address_________________________________________________________________
Email address___________________________________________________________
Parent/Guardian Name(s)_________________________________________________
Work #___________________________Emergency #___________________________

IMPORTANT!  The full amount of your camp week is due with this application. 
Your spot will not be reserved until it is paid in full.

CHANGES & CANCELLATIONS:  3 weeks notice is required for either a cancellation or a
request to change to another week.  For a cancellation, all but $50 will be refunded if the
required notice has been given.  If less than 3 weeks notice is given, there will be no refund. 
For a change of dates, there will be a $50 fee.

Parent Signature:  __________________________________________Date_____________
(By my signature, I hereby verify that I understand and agree to the terms of this application).