Elvenstar Camp Registration Form
Please fill in the information below. Then click on PRINT to print out a copy. If paying by credit card, please fill in applicable credit card information on printed copy, and add your signature where applicable. Fax or mail the completed form to the fax number/address indicated on the form. FAX TO: 805-529-3911. MAIL TO: ELVENSTAR 15618 E.TIERRA REJADA RD. MOORPARK CA. 93021
Camp sessions are in high-demand and fill quickly. To ensure your place, deposits are non-refundable.
Please Click here to read important Terms!
Camp Dates Please check/click on the Camp Sessions Preferred

Summer 2010
Please describe your child's riding experience.

June 14 -18
$400 one week
June 21-July 2
$800 two week
July 5-16
$800 two week
July 19-30
$800 two week
August 2-13
$800 two week
August 16-20
$ 400 one week
August 23-27
$ 400 one week
Please tell us how you heard about Elvenstar Day Camps!
* indicates mandatory information
* Student's Name
*Date of Birth
* Height
 * Weight
Has he/she been to Elvenstar before?
Yes No List any favorite Elvenstar horses:

Riding Style Experience

English Western Dressage Other (Check all that apply)
Does your camper have sibling/friends in the same camp?

Yes No Please List:

* Please list any allergies, ailments, medications or other restrictions:
* Is camper covered by health insurance? Yes No Insurance Company: Policy No:
Parent/Guardian Information (1st)
Name: Email
Street Address: City: State Zip Code:
Home Phone:

Cell Phone: Work Phone Ex

Parent/Guardian Information (2nd)
Name: Email
Street Address: City: State Zip Code:
Home Phone:

Cell Phone: Work Phone Ex

 
DEPOSIT Payment Options: (please select one)
VISA Expiration Date:
Master Card Expiration Date:
Personal Check #

Signature: ___________________________________________________
By signing here you authorize the deposit to be charged upon receipt of registration form. You will be responsible for any late charges. (see Terms)
BALANCE Payment Options: (please select one)
VISA Expiration Date:
Master Card Expiration Date:
Personal Check #

Signature: __________________________________________________
By signing here you authorize the full balance to be charged on Balance Due Date. Balance will not be charged unless authorized. You will be responsible for any late charges. (see Terms)

 
TERMS

By signing the registration form, you are authorizing payments as well as agreeing to the terms and policies below.

Please read carefully.
Deposit and Payment Info
Spring Camp: + Deposit amount based on session chosen
Balance Due in full: April 1, 2010
Summer Camp: $100.00 non-refundable deposit, per session.
Balance Due in full: June 1, 2010
Winter Camp: $20.00 non-refundable deposit, per day.
Balance Due in full: December 10, 2010
*Deposits are non-refundable and must accompany registration form. If mailing, please call us to confirm receipt of your registration form and deposit. We cannot guarantee a space unless we actually receive it.
*Balances not paid in full by balance due dates are subject to a $40.00 late payment fee and may result in loss of space in camp.

Cancellation/Refund Policy:

*Minimum or 3 riders required per day for camp to be offered. Should Elvenstar cancel due to less than 3 riders registered, entire payment (including deposit) will be refunded.
*Cancellations made prior to balance due date of April 1, 2009 will result in refund of monies paid less non-refundable deposit.
*Cancellations made after balance due date will not be refunded.
*In the event of inclement weather, Elvenstar will offer daycare only.
Elvenstar reserves the right to substitute the riding portion of camp with other activities due to weather and/or safety issues.

MAIL TO: Elvenstar Riding Academy, 15618 Tierra Rejada Road, Moorpark, California 93021

FAX TO: 805-529-3911

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