Rte 9, Box 2873, Malta, NY 12020
(518) 587-0810
KidsCamp! 2008
Celebrating our 10th year!

2008 Registration Form

Please circle which week you wish to attend:

July 21 - 25

August 18 - 22

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 $475.00.
Please mail this form with your deposit (non-refundable) of $100 payable to Mahogany Ridge to :

Theresa Richmond
Mahogany Ridge
Rte 9, Box 2873,
Malta, NY 12020