Summer Programs Registration Form
	To register online, complete and submit the form below.   To register by mail, click here to download the 2012 Summer Programs registration forms.
	I would like to register for the following Summer Program(s): (please enter the number 1 next to the programs for which you are registering) Residential Programs Bonnie Castle Riding Camp - Session 1 June 24 - July 7, 2012 $2,600 (includes deposit) Non-refundable deposit:  @ $500.00 Bonnie Castle Riding Camp - Session 2 July 8 - July 21, 2012 $2,600 (includes deposit) Non-refundable deposit:  @ $500.00 Bonnie Castle Riding Camp - Session 3 July 22 - August 4, 2012 $2,600 (includes deposit) Non-refundable deposit:  @ $500.00 I would like to board my horse at Bonnie Castle Riding Camp. ($500.00 to be billed with balance) Intensive Riding Camp August 6 - August 12, 2012 $1,250 (includes deposit, but DOES NOT include extra cost of the Northampton Hunter and Jumper Show) Non-refundable deposit:  @ $500.00 I would like to board my horse at Intensive Riding Camp ($250.00 to be billed with balance). Sorvino Dance Intensive - Session 1 July 1 - July 7, 2012 $575 (includes deposit) Non-refundable deposit:  @ $200.00 Sorvino Dance Intensive - Session 2 July 8 - July 14, 2012 $575 (includes deposit) Non-refundable deposit:  @ $200.00 A Voice of Her Own: Public Speaking and Debate - Session 1 July 9 - July 13, 2012 $450 (includes deposit) Non-refundable deposit:  @ $200.00 A Voice of Her Own: Public Speaking and Debate - Session 2 July 23 - July 27, 2012 $450 (includes deposit) Non-refundable deposit:  @ $200.00 Form Total: $0.00 Name of Participant* Date of Birth* Age (at start of camp)* Grade (as of September 2011)* Current School* Parent/Guardian Name* Address 1* Address 2 City* State* Zip* Home Phone* Fax Email* Please select t-shirt size* Youth Large Adult Small Adult Medium Adult Large Adult X-Large How did you hear about Stoneleigh-Burnham Summer Programs?* Online Friend Camp Fair Advertisement I'm a Past Participant Other If you found us online, what website did you use to find SBS Summer Programs? If you found out about SBS Summer Programs at a camp fair, where was it located? Credit Card Information Name on Card* Card Type* Visa American Express Discover Master Card Credit Card Number* Expiration Month* January February March April May June July August September October November December Expiration Year* 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 CCV* Referring Camper's Name, if applicable I would like to receive more information regarding Stoneleigh-Burnham School.