You must agree to the program polices before submitting this form. Agreement I have read and agree to the Program & Payment Policies. I have downloaded and/or mailed/faxed/emailed the Required Documents to Carlisle Academy for the current school year. Student/Contact Information Student: Date of birth: Parent/Legal guardian: Address: City: State: AL - ALABAMAAK - ALASKAAZ - ARIZONAAR - ARKANSASCA - CALIFORNIACO - COLORADOCT - CONNECTICUTDE - DELAWAREFL - FLORIDAGA - GEORGIAHI - HAWAIIID - IDAHOIL - ILLINOISIN - INDIANAIA - IOWAKS - KANSASKY - KENTUCKYLA - LOUISIANAME - MAINEMD - MARYLANDMA - MASSACHUSETTSMI - MICHIGANMN - MINNESOTAMS - MISSISSIPPIMO - MISSOURIMT - MONTANANE - NEBRASKANV - NEVADANH - NEW HAMPSHIRENJ - NEW JERSEYNM - NEW MEXICONY - NEW YORKNC - NORTH CAROLINAND - NORTH DAKOTAOH - OHIOOK - OKLAHOMAOR - OREGONPA - PENNSYLVANIARI - RHODE ISLANDSC - SOUTH CAROLINASD - SOUTH DAKOTATN - TENNESSEETX - TEXASUT - UTAHVT - VERMONTVA - VIRGINIAWA - WASHINGTONWV - WEST VIRGINIAWI - WISCONSINWY - WYOMINGDC - DISTRICT OF COLUMBIA Zip: Phone: Email: Program & Tuition Class Name: Registration Deadline: Session: WinterSpringSummerFall Tuition: Per Diem Rate (if applicable): Pro-rations/Discount: NoYes The tuition (or your portion of tuition) is due by the beginning of the session. If you are unable to pay your balance at this time, please contact the office to establish a payment plan. I am a current United States Pony Club Member. My regional and national dues are current. Trucking In I plan to truck in my own horse for on-going lessons and/or Pony Club. My horse is up-to-date on all shots/vaccinations. I will bring my own water bucket and hay. I agree to clean up after myself and my horse before I leave. Scheduling Please indicate the day of the week and the time of day you would like to attend. Monday - AMMonday - PMTuesday - AMTuesday - PMWednesday - AMWednesday - PMThursday - AMThursday - PMFriday - AMFriday - PMSaturday - AMSaturday - PM Specific time parameters: Dates unable to attend: (tuition still applies unless excused absence) Notes: Enter the following below: