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Sign Up For
Summer 2016

2016 Enrollment

To enroll immediately with a credit card, fill out the form below. Alternatively, you may download the enrollment form, print it out and mail or fax it with your deposit.

92 Middle Neck Road
Great Neck, NY 11021
Fax: (516) 487-2855

An asterisk (*) denotes a required field.

Choose Your Tour: *

Traveler's Information

Name: *    
Street Address: *    
Street Address 2:    
City: *    
State: *    
Zip: *    
Home Phone: *    
School: *    
Current Grade: *    
Birthdate (MM/DD/YYYY): *    
Email Address:*    
Gender: *     Male Female

Parent/Guardian Information

Father's Name: *    
Father's Business Phone:    
Father's Cell Phone:    
Father's Email:    
Mother's Name: *    
Mother's Business Phone:    
Mother's Cell Phone:    
Mother's Email:    

What did the traveler do last summer? (If camp, which one?) *
 
Additional comments which would help place traveler in proper group:

Payment Form - This page is secure for online credit card transactions.

Credit Card Type: *    
Card Number: *    
Expiration Date: *    
Cardholder's Name: *    

Payment Schedule

$500 Deposit Upon Enrollment

$1500 Sustaining Payment Due February 1, 2016

Balance Payable Only By Check Or Money Order Due April 1, 2016

Refund Policy- All Money Paid To ATW Teen Tours Will Be Refunded As Follows:

  • Less $500 for Cancellation after February 1, 2016
  • Less $1000 for Cancellation after April 1, 2016
  • Less $2000 for Cancellation after May 1, 2016
  • Less $3000 for Cancellation from June 1, 2016 until departure *

Trip Cancellation and Interruption Protection available

* FOR 2 WEEK MINI TOUR: MAXIMUM FORFEITURE IS $1000
* FOR 4 WEEK MINI TOUR: MAXIMUM FORFEITURE IS $2000
* FOR ALL 2 WEEK GET-A-WAY TOURS: MAXIMUM FORFEITURE IS $2000

When you click on "Enroll Now", your credit card will be charged $500 for enrollment. You will be invoiced for the remaining amount accordingly.

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ATW TEEN TOURS • American Trails West • 800.645.6260 • Fax: 516.487.2855 •

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