Sweetbriar Birthday Party Application Form
Membership with Application is Required
Please print and send $100 deposit to:

Sweetbriar Nature Center
62 Eckernkamp Drive
Smithtown, NY 11787

Child's Name:___________________________________________	Grade:______	Age:______
Parent's name:__________________________________________
Address:_______________________________________________
City:__________________________________________________	State:______	Zip:______

Daytime Phone:________________________		Evening Phone:________________________
Date of Party:_________	Time:_________	# of Children:_________	Program:_________
I would like to become a member($35)		I am already a member
Method of payment:      Cash ___       Credit Card (MasterCard or Visa) ___
Credit Card # ____________________________
Exp. Date: _________
		Amount Enclosed:_________

If becoming a member, please also fill out the form at the following link:
Membership Application Form