registrationform2018

Halloween Day Camp 2018 Registration Form

Iron Horse Country Ranch
Summer Motorcycle Camp

Cancellation policy: You may request refund up to 2 days before camp start date. No Refunds day of Camp. Let us know if you have any questions, thank you.

Choose Camp Week

Pick any week available , email for full weeks and you will receive confirmation after submitting in 1 day

Choose Dropoff/Pickup Location

Email (Please make sure correct, for receipts and camp notices )

Campers First

& Last name

Age

Birthdate

Gender

More then one child may register on same form if same family. Indicate in comment for additional weeks requesting and send us email to confirm.

Sibling2 Name

Age

Birthdate

Gender

Sibling3 Name

Age

Birthdate

Gender

Mother/Guardian's First

Last Name

Address

City

State

Zip

Cell Phone

Home Phone

Mother's Email

Father/Guardian First

Last Name

Address

City

State

Zip

Cell Phone

Work Phone

Father's Email

Authorized Pickup

Emergency Contact

Emergency Phone

Health Insurance Name

ID #

Ins Phone

Family Physician

Physician Phone

Imunization up to Date

Yes No

How did you find out about us & Comments

Please check any options and at checkout add them again to cart. At checkout pay to receive at camp

Dinner included Tshirt $15 Moto Jersey $40 Sending check U.S. mail Paying online after submitting

Please pay after submitting form to lock your reservation. You will be taken to payment site for credit cards or let us know above if mailing a check. Thank you

Comments, health concerns or things our staff should know about your child, any special arrangements or payments, thank you.