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?




































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CREDIT CARDS ACCEPTED
HERON MEAD FARM
15 School Lane
Robesonia, PA 19551
610.223.1079
www.heronmeadfarm.com
heronmeadfarm@icloud.com
Pony Club "D" Camp I
6/12/18-6/15/18     Tues.-Fri.
Ages 5 - 16 yrs.    10am - 3pm  
​(Open to members of US Pony Club Only
Horse & Pony Camp I
6/25/18 - 6/29/18    9am - 3pm
Ages 5 - 18 yrs.   
Beginner through Advanced Riders
Horse & Pony Camp II
7/16/18 - 7/20/18     9am - 3pm
Ages 5 - 18 yrs.   
Beginner through Advanced Riders
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.
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Please choose the appropriate link for the camp you want to pay for via PayPal:  
Pony Club "D" Camp II
6/18/18-6/21/18     Tues.-Fri.
Ages 5 - 16 yrs.    10am - 3pm  
​(Open to members of US Pony Club Only
Please choose the appropriate link for the camp you want to pay for via PayPal:  
Pony Club "D" Camp III
7/31/18 - 8/3/18    9am - 3pm
Ages 5 - 18 yrs.   
Beginner through Advanced Riders
Horse & Pony Camp III
8/13/18 - 8/17/18     9am - 3pm
Ages 5 - 18 yrs.   
Beginner through Advanced Riders
Please choose the appropriate link for the camp you want to pay for via PayPal:  
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