Online 2011 Summer Camp Application

Instructions for online application:

1. Complete online application to temporarily hold your child's place.

2. Print and complete and sign full application.

3. Bring completed application along with required deposits to Circle C office within 5 business days
   or mail to:
   Circle C Ranch Academy
   6204 Interbay Boulevard
   Tampa, FL  33611

Date of Application: , 2011

Child's Full Name: Age: Male/Female: Male Female

Preferred Name: Date of Birth:

Address: City: State: FL Zip Code:

Check weeks of planned attendance:
($10 deposit required for each week)
This deposit must be paid within 5 business days to permanently reserve place for your child.

June 13 - WILD WILD WEST WRANGLER
June 20 - COWBOY & INDIANS
June 27 - COUNTRY ROUND UP
July 4 - RIDE THE WEST WEEK
July 11 - FRONTIER WEEK
July 18 - BARREL OF FUN
July 25 - WILDERNESS WEEK
August 1 - BRONC BUSTER WEEK
August 8 - BOOTS N SCOOTS
August 15 - CAMPFIRE GRILL & KIDS CORRAL

Name of Mother: Home Phone Number:

Place of Employment: Work Phone Number:

Name of Father: Home Phone Number:

Place of Employment: Work Phone Number:

Email Address:
 

Concerns or questions: