Pony Gang Youth Farm Camp Registration

Household / Adult Primary Contact

Relationship to Participant: *
 

Participant Information

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Camp

Available Camps  

5-Day or 10-Day Half Day Camp: Monday - Friday 8:00am (Drop off) to 1:00pm (Pick up)

5-Day or 10-Day Full Day Camp: Monday - Friday 8:00am (Drop off) to 5:00pm (Pick up)              

All Children must be picked up at 5pm each day!

 

INFORMATION ON RATES 

Half Day Camp:

5-Day Camp   $ 160.00*

10-Day Camp $ 300.00**

 

Full Day Camp:

5-Day Camp   $ 280.00*

10-Day Camp $ 540.00**

Failed payments of any kind will be charged a $50 Administration Fee for every failed payment attempt. 

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Check our Website first for available Camp weeks, before signing up. Our Webpage is always up to date on which Camp week's are full and which still have available Spots.
Should you miss to check our Website and sign up for a Camp week that is already full, with your signature on this form you agree that you accept that your Registration Camp dates are automatically changed to the next open Camp session! 
https://www.ponygang-farm.com/farm-camp/camp-dates-prices-2019/
Is your Child attending Half Day or Full Day camp? *
Attending Day Camp Dates (Please select none, if you only sign up for multiply weeks) *

Payment Information

THIS SECTION MUST BE SIGNED BY PARENT AND/OR GUARDIAN BEFORE REGISTRATION IS ACCEPTED

I hereby give permission to Stefanie Terebayza and Pony Gang Equestrian Services staff to transport the child named above off camp property for the purpose of medical care or program activities as deemed appropriate by the Camp Director. In the event I cannot be reached in an emergency, I give permission to the physician selected by the Camp Director to hospitalize, secure proper treatment, and order injection, aesthetic or surgery for the child named above. I understand that Stefanie Terebayza and Pony Gang Equestrian Services does not provide accident/medical insurance for the child named above. Medical bills, including prescription drugs, will be the responsibility of the parent or guardian named in this registration.

Rules for campers are the same for all without regard to race, color, national origin, gender or disability. I understand that all campers will be treated as individuals and respect will be shown for a range of abilities and behaviours. I agree that Stefanie Terebayza and Pony Gang Equestrian Services staff reserves the right to dismiss a child from camp whose special needs they are not able to provide for or whose conduct is not in the best interest of the camp community, without refund. I will notify the director if my child has any serious restrictions related to his/her participation in the camp program.

I am aware of the following policies regarding camp fees: With submitting this Camp registration I registered my child for the above Camp week/s and I am aware that the Camp fee's will be due;  A Cancellation notice must be submitted in writing and mailed to the camp's mailing address. If no Cancellation notice is send all Camp fees become due; Refunds will be issued in the same manner as payment was made; If Refunds are issued, 80% of tuition paid will be refunded if written notice is received no later than nine weeks prior to start of camp; Cancellations received less then nine weeks forfeit full tuition unless there is a valid health related reason for cancellation. All health related cancellations require a physician's written notice. Cancellation due to severe illness or accident prior to camp session start date require a physician's written notice. After cancellation is reviewed, 60% 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 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; No refunds are given if a camper missed days due to homesickness or personal commitments; We cannot offer discounts on late starts and early departures; 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).

In case of inclement weather, Pony Gang Equestrian Services will substitute indoor activities of our choice for Campers.

All participants will receive a Health Form along with other Forms and have to submit them to Pony Gang Equestrian Services, 393 Frost Road Camden SC 29020 latest one week befor Camp startss. 

With your signature you give Pony Gang Equestrian Services  the permission to use photographs taken of your child while at camp for promotional purposes. Pony Gang Equestrian Services reserves the right to make changes to schedules or child’s riding group.

We or I (Parent/Guardian) have read and agree to all the conditions of this registration.

Signature *
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Payment and Payment Plan Agreement

How would you like to pay? *
Current Total:
$0.00
Please note:
- If you select to pay by Debit/Credit Card your Card will be charged within 24 hours of Registration being submitted.  
- If you selected PayPal FRIENDS AND FAMILY please send payment to ashley.terebayza@icloud.com. You must pay within 48 hours of Registration being submitted. If payment is not received within this time frame, your below entered Debit/Credit Card will be charged.
- PayPal FAMILY AND FRIENDS Payment is offered to you with a 5% Administation fee discount on your Camp fees (Does not includes charges for Helmet rental). Please deduct this 5% from the Camp fee before sending money.  Please note, that if you send payment through PayPal without using the FRIENDS AND FAMILY option, there will be no discount given and should you have discounted the 5% of your payment, we will charge your below Debit/Credit Card with this amount.
Payments by Debit/Credit Card: 
Single charges for Camp fees and first instalment for payment plan will be charged within 24 hours after receiving registration form. 
All following instalment payments will be debit on the 3rd of every month following the month of registration.
With your signature and submitting this registation form you authorize and arrange for Pony Gang Equestrian Services to charge your Debit/Credit Card listed below with the above scheduled pre-authorized monthly charges for the Camp fees you have signed up for. 
 
Payments by PayPal FRIENDS AND FAMILY:
PayPal FRIENDS AND FAMILY payments for singel charges and for first instalment for payment plan have to be received within 48 hours of submitting your registration or you authorize and arrange for Pony Gang Equestrian Services with your signature and with submission of this registration form to charge your Debit/Credit Card listed below. 
All following instalment payments have to be received by the 3rd of every month following the month of registration. Should you miss this payment date you authorize and arrange for Pony Gang Equestrian Services to charge your Debit/Credit Card with this and all following payments.
 
You understand that this auhorizations will remain in full force and effect until Camp fees are paid in full. You understand that a sufficient balance and/or credit line must be maintained in your account to fullfill your monthly obligations. You understand that insufficient funds and/or denial of payment to Pony Gang Equestrian Services will result in a $ 50 administration charge for each case of insufficient funds and/or denial of payment to Pony Gang Equestrian Services, which will be deducted from your debit/credit Card account. 
Signature *
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