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SARABANDE

Summer Camp Registration/Information

Please complete this form & return with $150 non-


refundable deposit to:
Sarabande Academy of Riding-
3250 E. Allen Rd. Tucson, AZ 85718

Student Name __________________________________

Date of Birth ___________________________________

Address _______________________________Zip _______

Home Phone # __________________________________

Parent Name(s) __________________________________

Parent Contact Phone #(s) __________________________

Email Address ___________________________________

Emergency Contact Name __________________________

Emergency Contact Phone #(s) ______________________

Allergies or any important medical information:

Camp Dates: (please circle which session(s) your child will be attending)

Session 1: May 31- June 4 Session 2: June 7 -June 11

Session 3: June 21- June 25 Session 4: June 28 -July 2

Session 5: July12-July16 Session 6: July 19-July 23

3250 E. Allen Rd Tucson, AZ 85718 T: (520)907-3965


www.sarabandeacademy.com
SARABANDE

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