PONY CLUB SPRING 2008 CLASS REGISTRATION 

WE HAVE BEEN HAVING SOME HOSTING PROBLEMS-IF YOU CANNOT SUBMIT THIS FORM-PLEASE FILL IT OUT, PRINT IT DOWN AND MAIL IT TO THE FARM. THANK YOU

CONTACT INFORMATION                     ALL FORM FIELDS MUST BE FILLED IN

NAME:
 PHONE:
 EMAIL:
  
ADDRESS:
 CITY:
 STATE:
 ZIP:

PROGRAM INFORMATION:  PLEASE DRESS TO BE OUTSIDE AND ACCORDING TO WEATHER, SENSIBLE-SAFE-STURDY SHOES (NO SANDALS, CLOGS,CROCKS, ETC)

 

PONY CLUB $140 :  
DAY AND TIME:  
NAME/AGE OF CHILD/COMMENTS:

CREDIT CARD INFORMATION:
CLASS PRICE WILL BE CHARGED TO YOUR CREDIT CARD. CLASS TUITION IS NON-REFUNDABLE. If you have any questions you can email me at info@lilfolkfarm.com. CLASSES SUBJECT TO CHANGE/CANCELLATION DUE TO ENROLLMENT LEVELS

NAME ON CARD:
PAYMENT TYPE:  
CREDIT CARD NUMBER:
EXPIRATION DATE:
BILLING ADDRESS:  
SECURITY CODE (back of card):