LIL' FOLK FARM RIDING EQUESTRIAN CIT registration

WE ARE A MASSACHUSETTS STATE CERTIFIED CAMP

CONTACT INFORMATION    

CHILD'S NAME:
 PHONE:
 EMAIL:VERY IMPORTANT
 ALL INFO /CONFIRMATION WILL GO OUT VIA EMAIL
ADDRESS:
 CITY:
 STATE:
 ZIP:

PROGRAM INFORMATION:

YOUR CHILD'S CURRENT RIDING LEVEL:  
   
SESSION-all sessions are considered available unless noted otherwise-please do not call for availability  
 A brief letter ,typed by the potential cit expressing their interest in the program, their age ,years riding with level and any qualifications they may have.(must be 13 as of Sept 1, 2012) Cost is $300 for the week plus a $25 materials/reg. fee

space IS limited to 4 cit's per camp week

  

 

PAYMENT INFORMATION-please read carefully: WE TAKE A $150 NON-REFUNDABLE DEPOSIT TO SECURE YOUR SPOT ON A CREDIT CARD.
  Final payments can be made by check but must be received on or before MAY 30th. If final payment is not received by may 30th, balances will be charged to your credit card on file ON JUNE 1st. DEPOSITS AND TUITION PAYMENTS ARE NON-REFUNDABLE.  AS OF JUNE 1ST 2012 FULL TUITION WILL BE CHARGED TO SECURE THE WEEK

I HAVE READ AND ACCEPT PAYMENT POLICIES:  

 

NAME ON CARD:
PAYMENT TYPE:  
CREDIT CARD NUMBER ( ADD DASHES BETWEEN GROUPS OF NUMBERS):
EXPIRATION DATE:
BILLING ADDRESS:  
SECURITY CODE (last 3 #'s of # on back of card or 4 members #s on front of amex ):