STARRYNIGHT RANCH
Llaves, New Mexico

* Camps * Ladies Retreats * Training * Lessons

505-554-0577       575-638-5661         
jubileejp@msn.com
STARRYNIGHT RANCH
Llaves, New Mexico
REGISTRATION FORM
Please complete registration form for each camper. Upon
submission of registration form, please complete Health and
Release Form and email or mail.
If you have any registration questions please call us at
720-641-7881.
Camper's Name
MAILING
ADDRESS
TELEPHONE
EMAIL
DATE OF BIRTH
AGE
PARENT NAME
GENDER
CAMP DATES
JUNE 2ND - JUNE 8TH
JUNE 9TH - JUNE 15TH
JUNE 16TH - JUNE 22ND
JUNE 23RD - JUNE 29TH
JUNE 30TH - JULY 6TH
JULY 7TH - JULY 13TH
JULY 14TH - JULY 20TH
JULY 21ST - JULY 27TH
JULY 28TH - AUGUST 3RD
Please provide
information on
camper's riding skills
AUGUST 4TH -AUGUST 10TH
RELEASE FORM
HEALTH FORM