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?




































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HERON MEAD FARM
15 School Lane
Robesonia, PA 19551
610.223.1079
www.heronmeadfarm.com
heronmeadfarm@icloud.com
Heron Mead Pony Club Camp
6/12/17 - 6/15/17     Mon.-Thurs.
Ages 5 - 24 yrs.    8am - 5pm  
**must be USPC member
SOLD OUT
Horse & Pony Camp I
6/26/17 - 6/30/17     9am - 3pm
Ages 5 - 18 yrs.   
Beginner through Advanced Riders
SOLD OUT
Horse & Pony Camp II
8/14/17 - 8/18/17     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 © 2017 Heron Mead Farm, Inc.
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