This form can be printed, or the following information e-mailed to Camp@heritageharvest.com Please fill out one form per child attending. We now offer two ways to pay. You can send your name with a $50 deposit to reserve your place for your chosen week(s), or you can use the PayPal Shopping Cart button to pay the deposit or the full camp amount using a credit card(no account needed). After you fill out this form and click the lets ride button, you can use the paypal button on the side bar to submit you payment via paypal. We will also need a release form and emergency contact form by the first day of camp. Heritage Harvest Farm 17159 Sprecher Rd Boonsboro, MD 21713 Parent's Name: Address: Phone: Email: Child's Name: Child's Age: Child's Height: Child's Weight: Please send me a camp brochure Riding Experiance: English Western I have my own helmet June 10th-14th June 17th-23rd June 24th-28th (Jr. camp ages 4-6) July 1st- 5th July 8th-12th July 22nd-26th (Teen Camp ages 12+) July 29th-August 2nd August 5th-9th August 12th-16th