2010 Registration Form
KidsCamp! July 19-23 and August 23-27
Blue Ribbon Camp! August 9-13
| Child's Name | Age | |
| Address | ||
| City/State/Zip | ||
| Phone | ||
| Dog’s Name | Breed | Age |
Neutered: yes - no Last date of vaccinations: Rabies: |
||
| Email: | ||
| Parents Name: | ||
| T-shirt size: Children S M L- Adult S M L (circle one) | ||
Camp registration fee is $495.00.
Please mail your deposit (non-refundable) of $100 payable to Mahogany Ridge VA, LLC to :
Theresa Richmond-Camp Director
Mahogany Ridge VA, LLC
15240 Turkey Track
Culpeper, VA 22701