Champagne Run
2008 Summer Riding Camp

Entry Form

Rider's Name:



Age:

Parent's Name:



Street:



Phone:

City/State/Zip:



Riding Experience:

Session(s) Attending:



Enclosed $



Please enclose a check payable to CHAMPAGNE RUN, INC to reserve your enrollment.

Mail to:
Champagne Run, Inc.
1225 Pleasant Ridge Dr
Lexington, KY 40509

Questions? Call (859) 263-4518 or (859) 523-3768 or email us.