Kensington Stables

2011 NYC Pony Riders Registration Form

Once you have submitted this form, we will contact you by phone within 24hrs to obtain your credit card payment information.
The registration is complete and a spot is reserved for your child only after full payment is received.

Rider(s) Information

Rider1:	First Name: Last Name: Date of Birth:
	Approx. Height Approx. Weight Allergies
	Riding experience and anything else you may want us to know about your child.
Rider2:	First Name: Last Name: Date of Birth:
	Approx. Height Approx. Weight Allergies
	Riding experience and anything else you may want us to know about your child.

Parent/Legal Guardian Information

Title: First Name: Last Name:	Address1:
E-mail:	Address2:
Home Phone:--	City: State: Zip:
Cell Phone:--	Country:
I use text messaging regularly

Emergency Contact

Contact1:	Title: First Name: Last Name: Relationship to child:
	Daytime Phone: --	Cell Phone: --
Contact2:	Title: First Name: Last Name: Relationship to child:
	Daytime Phone: --	Cell Phone: --

Check the week(s) you would like your child(ren) to participate.

Rates are for one child per week.

Mid Winter Break	Feb 20th to 24th.	$300
Spring Break	April 9 - 13th.	Pay by March 15th: $375, after March 15th: $400
Summer	June 25 - 29th.	Pay by March 15th: $375, after March 15th: $400
Summer	July 2 - Jul 6th.	Pay by March 15th: $300, after March 15th: $320
Summer	Jul 9 - Jul 13th*.	Pay by March 15th: $375, after March 15th: $400
Summer	Jul 16 - Jul 20th.	Pay by March 15th: $375, after March 15th: $400
Summer	Jul 23 - Jul 27th.	Pay by March 15th: $375, after March 15th: $400
Summer	Jul 30 - Aug 3.	Pay by March 15th: $375, after March 15th: $400
Summer	Aug 6 - Aug 10th.	Pay by March 15th: $375, after March 15th: $400
Summer	Aug 13 - Aug 17th.	Pay by March 15th: $375, after March 15th: $400
Summer	Aug 20 - Aug 24th.	Pay by March 15th: $375, after March 15th: $400
Summer	Aug 27 - Aug 31st.	Pay by March 15th: $375, after March 15th: $400

Early Drop off and Late Pick up ($15 an hour per child)

Early Drop off	Mon Tue Wed Thu Fri
Late Pick up	Mon Tue Wed Thu Fri