SNOWBIRD’S FUN SUMMER PROGRAM

204 Schooley’s Mountain. Road, Long Valley, NJ 07853 (908) 876-4200

Registration for Summer Program 2008

DATE ______________ GIRL ___ BOY ____I wish to enroll:(NAME)__________________________

Last Name ________________________________First Name ________________________________

(STREET ADDRESS)__________________________________________________________________

____________________________________________________________________________________

City State Zip Code ___________________________________________________________________

Date of Birth______________T-Shirt Size_____________AGE _____Grade Completed_____

PLEASE CHECK SESSION (S) Do you need to rent a helmet @$20 per wk? ______

	July 7th to July 11th	Welcome Back Home Week
	July 14th to July 18th	Horse Show Week ...Friday July 11th is Show Day- (2 classes included to show to Mom and Dad)
	July 21st to July 25th	Horse Show Week ...Wednesday July 23rd is Show Day- (2 classes included to show to Mom and Dad)
	July 28th to August 1st
	August 4th to August 8th
	August 11th to August 15th	Goodbye to Summer

( Please let us know how you heard about our Fun Summer Program )

REFUND POLICY: In the event of illness, and no portion of session was attended, with physician documentation, all but a $200.00 NON-REFUNDABLE registration fee will be returned to any participant in full. All other Refunds will be decided on a case by case basis.

MISSED PROGRAM DAYS: We must be notified of any absences, missed days up to two days may be made up during the Program. No other make-ups will be given All make-ups must be completed before August 5^th, 2007

RESERVATION PAYMENT: Deposit by JUNE 15^th, 2007

5% Discount for two or more members of the same immediate family. (brothers or sisters)

TUITION PAYMENT: Payment DUE IN FULL BY the start of each session selected

Session Number of Weeks _________ Charge =$_______

Huntcap Rental YES NO ___________Number of weeks____ @ $20.00 per week =$_______

AND Extra weeks =$___________

SUB-TOTAL =$___________

5% FAMILY DISCOUNT -$_______

BALANCE TOTAL DUE BY July 1st =$___________

Total Amount Due________________________ _____Security Code_____

Credit Card NUMBER ___________________Expiration DATE: ________

Mastercard/Visa/Discover or American Express

Full Name as Printed on the Card ______________________________________________

Would you like to carpool?YES___ NO___ Is it all right to give your phone number?

THIS APPLICATION HAS MY APPROVAL AND CONSENT; CAMP PHOTOS OF MY CHILD MAY BE USED FOR ANY SNOWBIRD ACRES FARM PUBLICITY OR ADVERSTISING.

You must complete a full waiver with all medical information and emergency numbers and please include any other information we may need. Students must be signed in and out each day in the Craft Barn.

Signature of Parent or Guardian:___________________________________________________________