2013 Camp Red Cedar Registration  
Participant Information
First Name*   Gender*
Last Name*      
Age*    
Date of Birth *      
Phone Number*      
Street address*   City*  
State* Zip*  
Email    
How did you hear
about Camp Red Cedar? 		 
 If 'Other':
Parent/Guardian Contact
Parent/Guardian contact*   Relationship*  
Street address (if different from above) City
State Zip
Home phone*   Alternate phone
Email    
Emergency Contact
Emergency contact Relationship
Street address (if different from above) City
State Zip
Home phone Alternate phone
Email    
Summer Camps
Discovery Kids Camp ($170) [Ages 6-13]
*Must be age 8+ to attend overnight.

Range Riders Camp ($285) [Ages 8-15]
*Must be age 8+ to attend overnight.








Quest Camps [Ages 18+]
*Cost based on campers level of assistance needed.

Adventure Camp [Ages 6-21]
*Cost based on campers level of assistance     needed.
*Must be age 8+ to attend overnight.

Customized Camps





 DSANI 1 Code:
DSANI 2 Code:
ACT 1 Code:
ACT 2 Code:


Horseback Riding Lessons/Therapeutic Riding

*Little Cowpokes $200 8 lessons

Buckaroos $280
Trail Rides $25

*Therapeutic Riding $200 8 lessons

*Private Lessons $360, 8 lessons




*Private Lessons Groupon

Groupon Code:

*We will call you to schedule riding times.
 

  I would like to be mailed a verification of my registration

  I would like to be emailed a verification of my registration

Email:
Mailing List: