Slide Ranch
Family Program Registration

Please verify that the program date you want is not already sold out and provide the following information to pre-register for a Family Program at Slide Ranch.

First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone (optional):
Cell Phone (optional):
Fax Number (optional):
E-mail address:

Yes, please register me for the Slide Ranch online newsletter,

to stay informed on events, programs, and registration deadlines.

Note: email addresses are strictly for Slide Ranch internal use only and will not be sold or shared with any affiliates.

line

FAMILY PROGRAM

Please provide the program name for which you would like to pre-register, exactly as it appears on the website.


1)

Family Program Name:
Family Program Date:
Number of Adults attending:
Number of children attending; please include the ages of each child or infant:
Number of children & ages:
Fees: $
Total: $

2)

Family Program Name:
Family Program Date:
Number of Adults attending:
Number of children attending; please include the ages of each child or infant:
Number of children & ages:
Fees: $
Total: $

I would like to make an additional tax-deductible donation to Slide Ranch.
Donation amount: $
(Please include donation amount in your payment total.)
Total amount to be billed: $

PAYMENT:

Slide Ranch accepts VISA, MasterCard and personal check.

You may fax your credit card information to 415-381-5762 after emailing your pre-registration or call our office at 415.381.6155 and we will take your information over the phone. Please indicate which payment option you prefer:

Once we receive your completed registration form as well as payment, we will process your registration and mail you a confirmation.


We appreciate your interest in our Family Programs. We look forward to seeing you at Slide Ranch.



Slide Ranch

Slide Ranch
Where the Bay Area gets down to earth
www.slideranch.org