Registration: Teen Horse Camp (Jul 8, 2018 03:00 pm - Jul 13, 2018 06:00 pm)

USER INFORMATION
Camper First Name :
Camper Last Name :
Email:
Confirm Email:
Your First Name:
Your Last Name:
Address:
Address 2:
City:
Province:
Postal Code:
Country:
Birthdate :
   
Gender:
Phone:
Emergency Phone:
Parent:
Parent:
Cabin Mate(s):
Medical Numbers:
Allergies:
Other health problems:
Physicians Name:
Date of last tetanus shot :
I would like a TShirt ($15):
I would like a Hoodie ($40):
How did you hear about DBC?:
NOTES:
I agree to the terms and conditions:
Read Terms & Conditions

Contact Us

Ph:(204) 638-5568

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Fax:(877) 292-5126

Location: SE35-23-19W

PO Box 686,

Dauphin, MB, R7N 3B3, CAN

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A ministry of One Hope Canada