Camper/Student:

               DOB                    Height             Weight                    T-shirt Size


     Parent/Legal Guardian:


     Address:






     Home #:                                                     Cell #:

     Work #:                                                      Other #:

     Email:

     Riding Experience:

     Does the camper/student have a physical or mental condition, which may affect his/her safety 
     and ability to ride a horse, of which we should be aware?   

     If yes, how can we help this rider with his/her special needs? Any other questions or comments?




































REGISTRATION

Sign InView Entries
email me
ALL MAJOR 
CREDIT CARDS ACCEPTED
HERON MEAD FARM
15 School Lane
Robesonia, PA 19551
610.223.1079
www.heronmeadfarm.com
heronmeadfarm@icloud.com
Camp Desired:
Please send one complete registration per child, per camp.
Full payment is required to reserve your spot in any camp.
You may call 610-223-1079 with credit card information or you can mail payment along with completed registration to:
Heron Mead Farm
15 School Lane
Robesonia, PA 19551
Copyright © 2018 Heron Mead Farm, Inc.
Buy this
Please choose the appropriate link for the camp you want to pay for via PayPal:  
Holiday Horse Camp
12/27, 12/28, 12/29     10am - 3pm
Ages 5 - 18 yrs.   
Beginner through Advanced Riders
Campers can do 1, 2, or all 3 day!
Please choose the appropriate link for the camp you want to pay for via PayPal:  
YesNo