SALKO FARM & STABLE, LLC
SUMMER RIDING ACADEMY 2014
REGISTRATION FORM
Name________________________________________ Date of Birth_________________________
Address_____________________________________ Town/Zip____________________________
Home phone(w/ area code)__________________Cell(w/ area code)________________________
Parent/Guardian___________________________________________________________________
email address:_____________________________________________________________________
Children’s Tee Shirt Size: S
M
L
XL
XXL (please circle one)
50% NONREFUNDABLE deposit is due at Registration. Balance payment is due on May 1st
Only checks are accepted with registration form.
Session Dates
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
CLOSED
CLOSED
CLOSED
$300
$600
$600
$600
Deposit Due
Now
CLOSED
CLOSED
CLOSED
$300
$300
$300
$300
$600
$300
Cost
June 23 – June 27
June 30– July 3***
July 7 – July 11
July 14 – July 18
July 21 – July 25
July 28 – August 1
August 4 – August 8
Session 8
August 11 – August
15
Checks only. Check must
accompany regrestration form.
Balance Due May 1st
CLOSED
CLOSED
CLOSED
$300
$300
$300
$300
$300
Total Payment:
___________________
Rider Level
Never Ridden_________ Walk/Trot__________ Walk/Trot/Canter___________ Jumping 2ft
Hours: Monday – Friday 8:30 a.m. – 1:00 p.m. ***WE ARE CLOSED ON JULY 4th**
Ages 6 and older please -- Spaces are limited.
Salko Farm & Stable, LLC
374 Hulls Farm Road, Southport, CT 06890
Email: [email protected]