Horseback Riding at Buckeye Ranch Camp Whip-Poor-Will

Available from May to October: 

Questions about horseback riding:  Laurel Sylvester, 937-279-6564 or 1-800-233-4845 x564 or email Laurel Sylvester

Registration FormGroup Leader   Phone E-Mail

Troop #     Program Age Level       Service Unit        

Address City Zip

Age of participants Any previous riding experience? Yes No

Give as many date choices as possible to ensure placement.

Date Time

Date Time

Date Time

Date Time

# of Participants  

Total Fee $ _________________ 1/2 of Total Fee = $____________ Deposit enclosed

This form must be printed and mailed in with your payment. Half of the total fee is due at time of registration (non-refundable). Balance is due upon receipt of confirmation. Mail to: GSBTC, 450 Shoup Mill Rd., Dayton, OH 45415-3518

Method of Payment: Check Visa MasterCard American Express DiscoverCard # Exp. Date

Signature