True North Summer Program Registration 2019
This form will let us know you would like to come. A $50 non refundable deposit will hold your spot until May 15 when payment is due in full. All tuition payments made after May 15th are non-refundable although we will make every effort to accommodate schedule changes ($25 fee per schedule change) when space permits!

We prefer payment via VENMO (search Kay Slater), check or cash.

Thank you.
Email address *
Student Full Name *
Your answer
Student Nickname
Your answer
Age *
Student DOB *
MM
/
DD
/
YYYY
Grade for Sept 2019 *
Learning issues? *
Your answer
Allergies? If so please describe. *
Your answer
Parent/Guardian Full Name *
Your answer
Parent/Guardian Cell Phone # *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Cell Phone # *
Your answer
Mailing Address *
Your answer
Summer Address *
Your answer
Riding Experience *
Do you own or lease your own horse/pony? *
Are you a member of US Pony Clubs? *
If you are in US Pony Club - what is your certification level?
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