Participant Information - Discount - 10% OFF Tuition - Ends June 14th, 2018 (prices reflect applied discount)

*First Name

*Last Name

*Gender

*Birth Date

*Grade

Household / Adult Primary Contact

Relationship to Participants: *

Mother

Father

Guardian

Other Other

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

*Phone

*Mobile Phone

*Emergency Phone

Email Address *

Is your child on any medications ? *

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Does your child have any dietary restrictions? (Please keep in mind that we cannot accommodate all dietary needs or food allergies. Please inquire about limitations prior to sign up) : *

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General Notes About Enrollment (optional):

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2018 Summer Resident Camp Options

Camp runs for a period of 9 weeks. Sunday June 24th to Sunday August 26th

Check your arrival and departure dates below.

Please Choose a Session: *

2018 Tuition Deposit

A tuition deposit must accompany this form if you enrollment is 4 weeks and over.

If your enrollment is less than 4 weeks, full tuition is due.

Payment plans are available at regular tuition price(no discount but flexible payments)

The remaining tuition due must be received by:

April 18th, 2018

*For enrollments 4 weeks and over only*

Amount of Deposit: *

1 week - full tuition due, no deposit available	2 weeks - full tuition due, no deposit available	3 weeks - full tuition due, no deposit available
4 weeks - $1,967.00	5 weeks - $2,450.00	6 weeks - $2,933.00
7 weeks - $3,417.00	8 weeks - $3,900.00	9 weeks - $4,383.00 - please contact us for availability *

1st Session begins June 24th and ends (please choose one)

Session 1

1 week July 1st - $1,485.00	2 weeks July 8th - $2,880.00
3 weeks July 15th - $4,275.00	4 weeks July 22nd - $5,670.00
5 weeks July 29th - $7,065.00	6 weeks Aug 5th - $8,460.00
7 weeks Aug 12th - $9,855.00	8 weeks Aug 19th - $11,250.00
9 weeks Aug 26th - $12,645.00 - please contact us for availability*

2nd Session begins July 1st and ends (please choose one)

Session 2

1 week July 8th - $1,485.00	2 weeks July 15th - $2,880.00
3 weeks July 22nd- $4,275.00	4 weeks July 19th - $5,670.00
5 weeks Aug 5th - $7,065.00	6 weeks Aug 12th - $8,460.00
7 weeks Aug 19th - $9,855.00	8 weeks Aug 26th - $11,250.00 - please contact us for availability*

3rd Session begins July 8th and ends (please choose one)

Session 3

1 week July 15th - $1,485.00	2 weeks July 22nd - $2,880.00
3 weeks July 19th - $4,275.00	4 weeks Aug 5th - $5,670.00
5 weeks Aug 12th - $7,065.00	6 weeks Aug 19th - $8,460.00
7 weeks Aug 26th - $9,855.00 - please contact us for availability*

4 Session begins July 15th and ends (please choose one)

Session 4

1 week July 22nd- $1,485.00	2 weeks July 29th - $2,880.00
3 weeks Aug 5th - $4,275.00	4 weeks Aug 12th - $5,670.00
5 weeks Aug 19th - $7,065.00	6 weeks Aug 26th - $8,460.00 - please contact us for availability*

5th Session begins July 22nd and ends (please choose one)

Session 5

1 week July 19th - $1,485.00	2 weeks Aug 5th - $2,880.00
3 weeks Aug 12th - $4,275.00	4 weeks Aug 19th - $5,670.00
5 weeks Aug 26th - $7,065.00 - please contact us for availability*

6th Session begins July 29th and ends (please choose one

Session 6

1 week Aug 5th - $1,485.00	2 weeks Aug 12th - $2,880.00
3 weeks Aug 19th - $4,275.00	4 weeks Aug 26th - $5,670.00 - please contact us for availability*

7th Session begins August 5th and ends (please choose one)

Session 7

1 week Aug 12th - $1,485.00	2 weeks Aug 19th - $2,880.00
3 weeks Aug 26th - $4,275.00 - please contact us for availability*

8 Session begins August 12th and ends (please choose one)

Session 8

1 week Aug 19th - $1,485.00

2 weeks Aug 26th - $2,880.00 - please contact us for availability*

9 Session begins August 20th and ends (please choose one)

Session 9

1 week Aug 27th - $1,485.00

2018 Activity Program Fees

Activity Fees cover most admissions to programs and are included in tution.

Excluded from Tuition (these activities are extra):

Whitewater Rafting Excursion, The Bobsled Experience, Adirondack Extreme Zip Line

and Obstacle Course, Hungry Trout Fly Fishing, Lake Placid Flight Tours and more.

Included in Tuition:

Extreme Tubing by ADK Aquatics, extra horseback riding lessons, visits to adirondack museums, 46'r hiking trips, horseback trail rides by ADK Equine Center, Wilderness Paintball, Boots & Birdies Golf and more.

All programs have professional staff certified separately from ADK WildHorse Camp.

Preferred Dsicipline

(please check all that apply)

Western	English	Jumping
Dressage	Barrels	Vaulting

Payment Form

(please complete all fields)

Billing Information:

Payment Options:

Visa	Mastercard
Discover	Amex

First Name *

Last Name *

Credit Card Number *

Expiration Month *

Expiration Year *

CID Code *

Billing Address:

Street Address *

City *

State *

Postal Zip *

Country *

E-mail Invoice & Receipts to: *

Early Bird Discounts are featured on this page: Main Page

Friends & Sisters discount is featured on this page: Friends & Sisters

Cancellation & Refund Policy:

Cancellations, Refunds, Terms & Conditions:

Cancellation notice must be submitted in writing and mailed to the camp's mailing address.

Refund will be issued in the same manner as payment was made.

If issued, 80% of tuition paid will be refunded if written notice is received no later than nine weeks prior to start of camp. Start of camp is June 24th (individual enrollments only).

Cancellations received after April 1st, forfeit full tuition unless there is a valid health related reason for cancellation. All health related cancellations require a physician's written notice.

Enrollment cancellations after April 1st will not receive a refund. Some cancellations may qualify for the following year's Camp Credit. Please inquire with Stacy at info@girlshorsecamp.com

Cancellation due to severe illness or accident prior to camp session start date require a physician's written notice. After cancellation is reviewed, 80% of tuition paid will be refunded.

Cancellations due to personal reasons will not receive a refund.

Cancellations due to withdrawal, dismissal, transportation issues, changes to vacation plans and any other reasons will not receive a refund.

Campers or Trainees who leave during a session will not receive a refund.

Once a camper arrives at camp no refunds will be made for any reason

We reserve the right to dismiss any camper that is not compatible with the camp programs. The camper and the parent will forfeit any and all tuition.

We cannot offer discounts on late starts and early departures.

Omission of any pertinent information can be grounds for dismissal.

The camp cannot accommodate certain dietary restrictions.

If camper refuses to participate in off-camp activities, activity fees are nonrefundable

Tuition quotes do not include miscellanous charges unless noted otherwise (personal spending)

Is your child's tuition protected by A+ Insurance or by any other insurance company ? *

Yes, my child's tuition is protected by A+ Insurance or other insurance that covers tuitions

No, my child's tuition is not protected by A+ Insurance or any other insurance company

By checking this box, I acknowledge that I had the chance to review the A+ Program Protection Insurance and decided not to sign up for the service.

*

By checking this box I verify I have read and agree with the above cancellation & refund policy.

Signature *

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