Online Registration Information

Camper Name: *
Parent/Guardian Name: *
Address: *
City/State: *
Zip Code: *
Contact Phone: *
Contact Email: *
Emergency Contact Name: *
Emergency Contact Relationship: *
Emergency Contact Phone: *
List medications, allergies, health concerns:
Camper Birth Date: *
Select Camp Session: *	Jun 11-14 AMJun 11-14 PMJun 11-14 Full DayJune 18-21 AMJune 18-21 PMJune 18-21 Full DayJune 25-28 Tots AMJune 25-28 PMJuly 2-5 AMJuly 9-12 AMJuly 9-12 PMJuly 9-12 Full DayJuly 16-19 AMJuly 16-19 PMJuly 16-19 Full DayJuly 23-26 AMJuly 23-26 PMJuly 23-26 Full DayJuly 30-Aug 2 AMJuly 30-Aug 2 PMJuly 30-Aug 2 Full DayAug 6-9 Tots AMAug 6-9 PMAug 13-16 AMAug 13-16 PMAug 13-16 Full DayAug 20-23 AMAug 20-23 PMAug 20-23 Full DayAug 27-30 AMAug 27-30 PMAug 27-30 Full Day
Camper riding experience:	No experience but LOVES horses!Been on a horse a few times.Been on a horse more than a few times but never taken lessons.Taken lessons for less than 3 months.Taken lessons for 3 to 6 months.Taken lessons for 6 months to a year.Taken lessons for over a year.
Summer Camp Interests:	Riding Horsemanship Clipping a Horse Painting a Horse Bathing a Horse Learning about Horse Care Learning about Colors and Breeds Horse Arts and Crafts
Things I can already do with a horse:	Brushing Putting saddle and bridle on and off Leading a horse Mounting Steering Walking Loping Dismounting
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Make a payment online or mail a check payable to:
Callie Bell
306 N. Trotwood Ave
San Pedro CA 90732
310-375-9322

Located at:
Callie Bell Performance Horses
PORTUGUESE BEND RIDING CLUB
40 Narcissa Drive
Rancho Palos Verdes, CA 90275

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Download Summer Camp Flyer (pdf)
Download Registration Form (pdf) for summer camp camp
Download Release Form (pdf)

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