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Boulder Brook Equestrian Center

Phone - 914 -725-3912
Camp Registration Form
Boulder Brook Camp 2014

Please fill out the following information:  

Child's Name:
Date of Application:
Home Phone:
Cell Phone:
Child's Age:
Please describe rider's experience:
Please select which weeks you would like to attend:
Please select appropriate camp option: 
Payment type:
Credit card number:
Expiration date:
Name as it appears on card:
Submit form electronically for REGISTRATION ONLY. 
When paying by Credit Card please fax form
to office with Credit Card information. 
DO NOT SEND CREDIT CARD INFO OVER THE INTERNET.
If paying by check please mail to:

Boulder Brook Equestrian Center
291 Mamaroneck Road
Scarsdale, NY  10583
(914) 725-3912 phone
(914) 725-3917 fax
Total number of weeks attending:
Total Amount Due*:
A $200 non-refundable deposit is due at time of registration.
Please print out a copy of your completed application before pressing submit. 
To send online application press submit and fax Release Form to office
To Fax application print completed form and Release Form and fax to office.
To Mail application print completed form and Release Form and mail to office.
Parent's Name:
E-mail address

Please fill out a required Release Form:

June 30 - July 4 *
July 7 - July 11 *
July 14 - July 18 *
July 21 - July 25 *
July 28 - August 1 *
August 4 - August 8 *
August 11 - August 15 *
August 18 - August 22 *
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