Camper InformationFull Name* First Last Birth Date* Month Day Year Are you interested in fee assistance for horsemanship lessons?* Yes No Additional InfoPlease provide any additional info in regards to your request.Have you attended Camp Ernst previously?* Yes No Parent/Guardian #1* First Last Phone #1*Email* Income InformationTotal Number of Adults and Children in Household*- select -123456+Total Household Gross Income Per Year*- select -$0 - $18,999$19,000 - $30,000$30,001 - $40,000$40,001 - $55,000$55,001-$65,000$65,001 +(Total household income including child-support, unemployment, public assistance, and other before deductions or “adjusted”/AGI on tax forms)Please explain why you want your child to take horseback riding lessons at Camp Ernst.* Δ
