Epona Sign-Up Sheet
Fall-Winter 2009
Print out this page & mail with your remitance
or give us your credit data over the phone.
We Accept all Credit Cards

Call us old school, but we do not like the impersonal
shopping cart idea

Feel free to call or e-mail for news and updates. :)
eMail is: Eponafarms@gmail.com
Call 916-320-4042
Or
Mail: I enclose $100.00 nonrefundable deposit for each child or
I will e:Mail my credit info.
(If paying by check make all checks payable to: Riverglade ),
I understand the balance is due 7 days before start of camp.
(No refunds after first day of camp).

• Class Requested:__________________ Number of Kids:_____

  Child's Name:___________________________ Age: __
  

  Respnsible Party:_______________________________
  

  Address: ____________________________________
  

  City:___________________ State:___ Zip:__________
  

  Phone:(H)_______________(Cel)________________
  (Work)_____________(Other)______________
  

  e-Mail: _____________________________
  

• Our Mailing Address is:
  Box 46
  Wilton, Ca. 95693
  

• Note: If you have a disadvantaged child or
  if you know of a family who is in need please notify us.
  Epona Riding Academy, offers a limited number of
  Free
  internships to qualified children.
  Grades, confidence and self-esteem
  often improve when kids take riding lessons.
  

---