Fair Hill Ride and Camp  --- October 8-11, 2009 --- Reservation Form

Because we must pay for all reserved stalls, refunds will  not be made for cancellations after September 15, 2009.  Confirmation packets will be mailed October 1, 2009   Complete and mail with your check to  CPWH-FH  *  1218 Sunrise Beach Rd   *   Crownsville, Md 21032    *    410-923-6157

 

 

Name_______________________________________________Phone____________________________Email_______________________________

 

 

Address__________________________________________________________________________________________________________________

 

 

Names of others in this reservation only_________________________________________________________________________________________

 

                                           

Arriving:  Thurs____     Fri____     Sat____                                          Leaving:  Fri____    Sat____    Sun____      =======          ______number of nights      

 

Enclose your check made out to CPWH-FH for the following:

 

            # ______  horse stalls for ______ nights at $15 each per night                                           $_______________

 

                   ______  yes, I would like a tack stall at $15 per night if available (do not pay now --- it  will be billed  with confirmation)

 

                # _______ nights field camping at $20 per night per unit (ie trailer, camper, tent)           $_______________

 

                   _______  not camping –

     staying at ____________________________________________________ Phone_______________________

 

   _______  coming just for the day(s)…  ___Thurs    ___Fri   ___Sat     ___Sun                                              

     at $5 per horse per day to cover DNR fee                                                               $_______________          

 

$5.00 per horse Administration fee               X _______ horses                                              $_______________

 

#______ Official full-size color DNR Park Maps at $7 per map                                                 $_______________

                                  

                Chesapeake Club Membership  ******                                                                                           $_______________

            (New______    Renewal______  Single $10______   Family $15_______)

 

            TOTAL  AMOUNT  DUE                                             $_______________

 

 

****   Everyone must be a current member of a participating club                CPWH___                ODGHA___             CHS___

 

Limited electric camp spots are available at $35 per night and will be assigned by lottery first to confirmed volunteers organizing activities and/or providing services, then to all requesting as space allows --- check if you would like one and what service you need ---  you will be billed for additional camp fee in your confirmation packet if you win a spot in the lottery.  Plugging into the barns is not allowed by DNR Regulations.  Lottery will be conducted by September 20, 2009.

 

______ water hookup       _______ 220 plug for trailer     OR     _______ 110 plug for extension cord/appliance

 

 

_____   I am volunteering to help with the following activities, services, or other means to help:

               

                ____ Saturday night community supper (planning, set-up, and/or clean up)                         ____ Music                

                ____ Community Fire Manager                ____ Costume Contest and Parade                        ____  Organize games to play at camp

                ____  Pumpkin Carving Contest              ____ Group  ride leaders for Saturday…       ___ walk/slow     ___pleasure gaiting    ____how long?     

 

Other____________________________________________________________________________________________________________

 

 

I understand that riding and being around horses can be dangerous, and I do so at my own choice and risk.  I agree to abide by all rules and regulations set for Club events.  I further agree to hold harmless the volunteers and associates of the Chesapeake Plantation Walking Horse Club for any damage, loss, injury, or death to persons or property.  All participants must sign for themselves and parent or guardian for those under 18 years of age.

 

All participating adults must sign_______________________________________________________________________________Date____________________

 

___________________________________________________________________________________________________________Date____________________

 

___________________________________________________________________________________________________________Date____________________

 


 

Please make checks payable to CPWH and mail to 1218 Sunrise Beach Rd * Crownsville, Md 21032

                       

_____NEW     _____RENEWAL      _____SINGLE  $10        _____FAMILY  $15           ___SPONSOR  $60

 

NAME(S)____________________________________________________________________________________________________DATE__________________

 

ADDRESS_______________________________________________________________________________________STATE___________ZIP________________

 

DAY PHONE_____________________________EVENING PHONE______________________________EMAIL_________________________________________

 

YES____I would like to receive my newsletter via email attachment         _____ I do not wish  this information to be shared with fellow Club members

 

Occupation________________________________________How did you hear about us?___________________________________________________________

 

Non-Horse Interests__________________________________________________________________________________________________________________

 

Number of Horses________________________   Breeds____________________________________________________________________________________                                    

_____YES --- I would like to help with club activities as trail ride host_____  contribute to newsletter____  serve as parade contact____  plan parties____  

                      other___________________________________________________________________________________________________________________

 

Suggested topics and/or guests and/or location______________________________________trails for rides____________________________________________

 

ALL ADULTS PLEASE SIGN...I understand that riding and being around horses can be dangerous, and I do so at my own choice and risk.  I agree to abide by all rules and regulations set for Club events.  I further agree to hold harmless the volunteers and associates of the Chesapeake Plantation Walking Horse Club for any damage, loss, injury, or death to persons or property.  All participants must sign for themselves and parent or guardian for those under 18 years of age.

 

Signed_____________________________________________________________________________________________________________Date____________

 

Signed____________________________________________________________________________________________________________ Date____________

 

 

 

 

 

Riding To A Different Beat

Chesapeake Plantation Walking Horse Club, Inc                                     

1218 Sunrise Beach Rd

Crownsville, Maryland 21032

 

 

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