Camp Application

PEPPERCORN RANCH
11200 Topa Vista Rd.
Santa Paula CA 93060
805 525 0854 office 805 217 1549 cell
We are 19 miles or 25 minutes from the Ventura County Government Center

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SUMMER DAY CAMP REGISTRATION PAGE

You may register through regular mail or online.

REGULAR MAIL PROCESS:
1. Click on each and print out a Registration Form and Release of Liability.
2. Fill out both and mail in with a deposit check.
3. We will mail back a confirmation of your reservation or call you if your first choice of weeks is filled.

ONLINE PROCESS:
1. Fill out and submit a Registration Form (see below).
2. Buy a deposit or pay in full for each week of camp you wish (Click on Add to Cart).
3. We will confirm your reservation by email. If the week you wish is full, we will contact you to see if you wish a different week. Your money will be completely refunded if all of the weeks you wish are filled.
4. Click here: Release of Liability Print and fill out the Release of Liability. This must have your signature! Either mail this to us or bring it on the first day of camp.

PEPPERCORN RANCH SUMMER DAY CAMP REGISTRATION FORM

Child's Name:
First Choice of the Week(s) You Wish:	June 14
	June 21
	June 28
	July 5
	July 12
	July 19
	July 26
	August 2
	August 9
Second Choice of the Week(s) You wish:
Age:
Grade in School:
Height:
Weight:
Experience:
Other Information / Requests:
Names of Parents / Guardians:
Street Address:
City:
State and Zip Code:
Home Phone:
Cell Phone:
Other Phone:
Email: