Canine Country Getaway 2012

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__________________________________________

Number of people attending:______________

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

Tent: sleeps 2
_____$270 for 2 nights. _____$350 for 3 nights.

Small Cabin: sleeps 2
_____$350 for 2 nights.* _____$450 for 3 nights.* _____$625 for 5 nights.*

Large Cottage: sleeps up to 3**
_____$450 for 2 nights.* _____$600 for 3 nights.* _____$875 for 5 nights.*

Standard RV with full bed: single occupancy only
_____$500 for 2 nights. _____$630 for 3 nights. _____$900 for 5 nights.

Standard RV with queen bed: up to 2 persons
_____$500 for 2 nights. _____$630 for 3 nights. _____$900 for 5 nights.

Standard RV with full bed (up to 2 persons) and private outdoor deck
_____$600 for 2 nights. _____$780 for 3 nights. _____$1100 for 5 nights.

Deluxe RV with a king bed: up to 2 persons
_____$700 for 2 nights. _____$900 for 3 nights. _____$1250 for 5 nights.

Bring your own RV:
Please indicate length of your RV:______feet
_____$300 for 2 nights. _____$400 for 3 nights. _____$600 for 5 nights.

*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.

**Additional $35/night for a third person. Cot will be provided

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 $______________

Payment of 50% is due at the time of booking. The remaining balance is due 30 days prior to arrival.
Once booked, a deposit in the amount equivalent to one night's stay will not be refundable in the event
of any cancellation. There are no refunds if cancellation occurs within 30 days of the planned arrival
date. No refunds due to inclement weather.

Updated 12/30/2011