Camp Registration Form

Please fill out form and mail it in with payment. Map link below.

All students must pre-register with a $50.00 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

Name:____________________________________________ Address:__________________________________________ City:________________ State:_________ Zip code:_________ Age:_______ Phone:(          )__________________ $50 non refundable deposit O Paid in Full O

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)

Emergency Contact_____________________  Relationship ________________ 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!

To contact us:

(502) 363-2372 or 439-2956 bannonwoodstable@bellsouth.net

Bannon Woods Farm

Bannon Woods Farm | Boarding | Price List | Riding Lessons | Summer Camp | Sign up sheet for camp