2011 DAY CAMP

WEEKLY SESSIONS M-F, 9 AM to 2:30PM

  • Includes one snack and one beverage.

Cost $160.00 PER SESSION or $40.00 per day

Child will need to be picked up no later than 2:30 PM. Before and after camp, care is available at $8 per hour.

LEARN THE BASICS OF HORSE CARE, INCLUDING, GROOMING, TACKING, HORSE SAFETY, HOW TO MOUNT, DISMOUNT, WALK AND TROT.

Classes limited to 12 campers

Campers must be at least 6 years old. Age exemptions may be made on a case by case basis.

Session Dates

06/06/2010 to 06/10/2010

06/13/2010 to 06/17/2010

06/27/2010 to 07/01/2010

07/11/2010 to 07/15/2010

07/18/2010 to 07/22/2010

08/01/2010 to 08/05/2010

There may be an optional overnight campout on Friday night, on the following days, at a cost of $35.00 per night.(Includesdrink,hot dogs & marshmallows.)

06/17/2010

07/01/2010

08/05/2010

Payments can be made weekly but must be complete prior to the beginning of each week of camp. 50% non refundable deposit required to reserve a spot.

RELEASEOF LIABILITY

Statement of Consent & Liability Release Form

Summer Day Camp 2011 I, the undersigned, give my permission for (print camper’s name) ______to participate in PRC Summer Day Camp. It is my understanding that the camps listed will include activities such as hiking, field and wildlife observations, as well as inadvertent exposure to potentially harmful animals and/or plants (such as bees, wasps, and

Poison Ivy). In consideration of PRCs acceptance of this child’s registration, I assume any risk connected with this child’s participation in such activities related to personal or bodily injury, and agree to hold harmless Sherlock’s farm, its officials, directors, employees, volunteers, and agents for damage arising from any injury to this child. I authorize PRC Summer Day Camp staff to arrange for

Transportation and/or necessary emergency treatment for this child shouldthe need arise and I cannot be reached.

Parent/GuardianSignature______

Please print

name______

Date______

Press Release Form

As a parent of ______, I hereby consent that any photographs, video-tapes, recordings, etc., in which my child appears may be used by Sherlock’s Farm/ Pensacola Riding Center, its assigns or successors, and becomes their property, which they may use free and clear of any claims on my part.

Parent/Guardian

Signature______

Date______

Sherlock’s Farm/Pensacola Riding Center

2011 summer Camp

Sherlock’s Farm

Gerard Kirsch (owner)

(850)712-4065

Grace McLaughlin (Camp Coordinator)

(850) 380-7074

1911 Mathison Rd

Cantonment, FL 32533

Riding Horses helps children to develop love, respect, discipline & physical coordination.

Application Form

(One child per form)

1. Which camp(s) will the child attend?

Week 1: June 06-10 Horse Camp (ages 6-14) $160.00

Week 2: June 13-17 Horse Camp (ages 6-14) $160.00

Week 3: June 27-July1Horse Camp (ages 6-14)

$160.00

Week4: July 11-15 Horse Camp (ages 6-14)

$160.00

Week 5: July 18-22Horse Camp (ages 6-14) $160.00

Week 6: August 1-5 Horse Camp (ages 6-14) $160.00

Other ages considered on case by case basis.

OVERNIGHT OPTION

Week 1:06/17/2010 $30.00

Week 3: 07/01/2010 $30.00

Week 5: 08/05/2010 $30.00

Extras

Subway Lunch package $25.00 week

Extra Riding Lesson $20.00

PRC t-shirt$20.00

(Call for FamilyRate)

2. Camper Name: ______

Age: ___ Boy _____ Girl_____ T-Shirt size ______

3. Name of Parent of Guardian

______

Street Address:

______

City/State/Zip: ______

Contact Phone: ______

Email Address: ______

(Weekly schedule and overnight information will be sent via email)

4. Alternant address

Street Address:

City/State/Zip: ______

Contact Phone: ______

Name of responsible party at this address:

Relationship to camper: ______

5. Whom may we contact in the event of an emergency?

Name______

Phone______

6. Has the camper attended a Pensacola Riding Center Riding program or Summer Day Camp before?

Yes ? No ?

If yes, in which years? 2005 2006 2007 2008 2009 2010

7. Please indicate below if the camper has any allergies, medical conditions, or nutritional conditions or needs we should know about.

______

8. Payment: ______weeks x ($140.00 or Family rate) _____+ Extras______= ______.

Payment can be made by cash or check but each week must be paid prior to the beginning of the week of camp.

Signature: ______

Send this form with your payment to:

Pensacola Riding Center

1911 Mathison RD

Cantonment, FL 32533

Gerard (850)712-4065

Grace McLaughlin (850)380-7074

From the Intersection of I-10 (EXIT 10) and Highway 29 (Pensacola Blvd) — Go North 12 miles on Hwy 29 to Mathison Road.

  • Eight miles north of I 10 is International Paper Mill on the left. (4 more miles to go)
  • Pass Quintette Road on the right. (Mathison Road is 1 mile north of Quintette Road.
  • Mathison Road is the first road on the left after you see an auto salvage yard with a red Station Wagon up on two poles on the right hand side of the Hwy 29.
  • Mathison Road goes off to the left directly across from the Molino Health Department.
  • After turning onto Mathison Road pass Bopeg Road on the left.
  • Pensacola Riding Center, 1911 Mathison Road will be on the left just behind the subdivision.
  • 1911 will be in large numbers on the Mail Box.