| Camp Registration Form |
Please fill out form and mail it in with payment. Map link below.
| All students must pre-register with a nonrefundable deposit in order to reserve space in desired class. Make checks payable to Bannon Woods Farm and send to: |
| Bannon Woods Farm 11116 Dezern Avenue Fairdale, KY 40118 |
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| Camp # 1st choice _____________ Date _________________________ 2nd choice _____________ __________________________ (Please Call for availability before sending registration!) T-shirt size Child M L Adult SM M L XL XXL |
Waiver of Liability
I hereby give my approval to participate in the Bannon Woods Farm Riding Camp. I do further release, absolve, indemnify and
hold harmless Bannon Woods Farm. Its representatives, supervisors, any and all of them. In case of injury at the site or in transit to
or from the site, I hereby waive all claims against the organizers, and or owners of Bannon Woods Farm. Bannon Woods Farm
reserves the right to excuse any participant from the program. There will be no refunds under any circumstances. I have read and
understand the above release.
Signature_______________________________________Date____________
(must be approved by parent or guardian if under age 18 years)
I hereby give my approval to participate in the Bannon Woods Farm Riding Camp. I do further release, absolve, indemnify and
hold harmless Bannon Woods Farm. Its representatives, supervisors, any and all of them. In case of injury at the site or in transit to
or from the site, I hereby waive all claims against the organizers, and or owners of Bannon Woods Farm. Bannon Woods Farm
reserves the right to excuse any participant from the program. There will be no refunds under any circumstances. I have read and
understand the above release.
Signature_______________________________________Date____________
(must be approved by parent or guardian if under age 18 years)
Emergency Contact_____________________ Relationship ________________
phone________________________________________________
Is there anything your child is allergic to that we should be aware of?
_____________________________________________________
phone________________________________________________
Is there anything your child is allergic to that we should be aware of?
_____________________________________________________
Survey: Is your child a Girl Scout? Y N
*Scoutership forms available for registered Girl Scouts at Girl Scout office.
*We accept Cookie Dough!
*Scoutership forms available for registered Girl Scouts at Girl Scout office.
*We accept Cookie Dough!
| To contact us: |
| (502) 363-2372 or 439-2956 bannonwoodstable@bellsouth.net |
