Registration Form

Registration Form

Meditation with Horses on Saturday May 28 2022
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you over 18yrs of age?

YesNo
Do you have any fear of horses?

YesNoA little bit
What drew you to the event the most?
What are you expecting and what would you like to get out of it?
What is your experience level with meditation?

NewbieIntermediateAdvancedI do it all the time
What is your experience of being around horses?
Would you like to be included on our newsletter mailing list? (Choose 1)

Yes, sign me up for A Little Touch From Heaven NewsYes, sign me up for Daisy Acres NewsYes, sign me up for both A Little Touch From Heaven & Daisy Acres NewsNo thanks!
Are you okay if we take photos and video during the event for marketing purpose?

I am okay being on your marketing materialsI am NOT okay being in any photos or video
How did you find out about this event?
To finalize your registration, please eTransfer the registration fee to alittletouchfromheaven@gmail.com

Thank you!

Willow and Doreen.
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