Camp Registration

Parent/Guardian Name: *

Camper Session (s) *

June 22 - 24 Jr. Day Camp

June 27 - 28 Mother/Daughter

June 28 - July 1 3-Day Horse Lovers Overnight

July 19 - 24 Horse Lovers Overnight

July 26 - 29 3-Day Horse Lovers Overnight

August 2 - 7 Horse Lovers Overnight

August 9 - 14 Horse Lovers Overnight

Camper Name: *

Has your camper been to a Northfork camp before? *

Yes

No

Promo Code (If Applicable):

Card Expiration Date: *

How Did you Hear of Northfork?:

Email: *

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Credit Card Number: *

Gender *

Male

Female

Billing Address (If Different from Above)

City / State / Zip *

Camper Birthday: *

Security Code: *

Additional Riding? (Applicable to Mother/Daughter Camp Only)

Yes

No

Mailing Address *

Camper Age: *

Phone *

3637 Morrice Rd, Webberville, MI 48892