Registration Process: 

Please fill out the following information and return your form--along with payment (sorry, no credit cards), payable to MountainView,Ltd, no later than 2 weeks prior to the program start date. Mail to MountainView, Ltd., 5604 Middle Road, Winchester, VA 22602. Feel free to call us with any questions at 540/868-1941
(Note: If you need to cancel, your fee will be applied to a future course; if we cancel a course, we will refund your payment. Class size is determined for each program. Enrollment is on a first come, first served basis.)

Camp(s)________________________Date(s)_______________________Fee_________

Camp(s)________________________Date(s)_______________________Fee_________

Camp(s)________________________Date(s)_______________________Fee_________

Extended day option for Weekly Camp and Bow-making

@ $20/morning or afternoon $20 x _____________=_____________

TOTAL FEES______________

NAME OF PARTICIPANT(S):____________________________________________________

DATE OF BIRTH: ____________________________________________________ M:___F:___

ADDRESS: __________________________________________CITY: ____________________

STATE: _______ZIP: ________ EMAIL:_____________________________________________

TEL. (day):___________________ (eve):___________________(cell)______________________

NAME OF PARENT/GUARDIAN: _________________________________________________

EMERGENCY CONTACT (Name & tel. no.):__________________________________________

MEDICAL OR SPECIAL HEALTH/DIET NEEDS:

______________________________________________________________________________

______________________________________________________________________________

Release, Acknowledgment & Waiver of Risk -- Parent's or Guardian's Indemnification
(Must be completed for participants under 18 years)

In consideration of the above named registrant being granted permission to enroll and participate in this program and associated activities, I hereby release and hold harmless MountainView, Ltd., its employees, agents, operators, instructors and volunteers from any and all claims, demands, costs, charges and expenses from any harm, injury, damage, suit or loss which may be sustained by the above named person as a result of, or relating to, participation in this program/activity.
Signed: ________________________________________(Relationship to registrant)___________


Please mail form and payment to: Mountain View, Ltd., 5604 Middle Road, Winchester, VA 22602