Canine Country Getaway 2010

Getaway Registration Form

Copy and paste the registration form text below into an email, fill in the info and email to:
sweetbcrescue@citlink.net OR print out this page, fill in the info and mail to:
Glen Highland Farm, 217 Pegg Road, Morris, NY 13808.

Today's Date:___________________

CAMPER INFORMATION:

Name_______________________________________________________________________

Address_____________________________________________________________________

City____________________________________ State______________ Zip_______________

Tel__________________________Email__________________________________________

Age of camper(s) _______________________(Note that the Getaway is adults only, 18 and older)

How did you find out about the Farm? _____________________________________________

DOG INFORMATION:

Dog 1 Name___________________________________Age_____________________________

Breed________________________________________Spayed/Neutered?_________________

Dog 2 Name___________________________________Age_____________________________

Breed________________________________________Spayed/Neutered?_________________

If you are bringing more than 2 dogs, please provide the above information for each additional dog.
Proof of rabies vaccination or titer required w/registration. Intact dogs must be discussed and approved
prior to registrtaion. Only one unneutered male dog allowed at any one given time. Female dogs in
heat will not be allowed.

RESERVATION DATES:

1st choice Arrival Day:________________________ Departure Day:________________________

2nd choice Arrival Day:_______________________ Departure Day:________________________

LODGING: Indicate 1st and 2nd choice

_______ Small Cabin: $150 per night or $600 for 5 nights*

_______ Large Cottage: $200 per night or $800 for 5 nights*

_______ Standard RV with full bed: $250 per night or $1000 for 5 nights

_______ Standard RV with queen bed: $250 per night or $1000 for 5 nights

_______ Deluxe RV with king bed: $325 per night or $1300 for 5 nights

_______ Own RV: $150 per night or $600 for 5 nights. Please indicate length of your RV:______feet

*For September and October cabin and cottage rentals, there will be a $25 fuel surcharge for heat
which includes one propane tank. Consumption of additional tanks will cost $25 per tank.

Number of people attending:___________Campers must be 18 years or older.

TOTAL COST: ____________________

PAYMENT TYPE: Check one

_______ Check enclosed in the amount of $________________ (made payable to Highland Vue)

_______ Payment processed securely on-line in the amount of $______________

Deposit of 50% is due at the time of booking. The remaining balance is due 30 days prior to arrival.
2-night minimum. Lodging at the Farm is limited to first come, first serve. Once booked, a deposit of one night's stay
will not be refundable, in the event of any cancellation. Full camp fee, less deposit, will be refunded if
notification is 30 days before arrival. After thirty days, any cancellation refunds will be dependent
on our ability to fill your space. Lodging fees support the rescue efforts at the Farm.