VETS Valor Application

Valor Equine Therapy Services, Inc. (VETS)

(A program of Willowbend Farm, Inc., Clinton, MT)

Submit this completed digital Application or print and mail to: Valor Equine Services, Inc., 432 E. Idaho St. Suite C608 Kalispell, MT 59901.

For more information go to https://www.equinetherapy-vets.org or call (406) 405-0063.

(We guarantee to do our part to keep your sensitive information confidential. Always be aware that information submitted on-line may be subject to unintended interception or piracy)
Enrollment Application
Program:

6 Week3 Day
Like to Participate as:

IndividualGroup
Please note what days of the week and times work best for you to attend.
Last Name
First Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Email
example@example.com
Veteran

YesNo
Branch
List any physical limitation or health concerns you may have that need to be considered when working with horses.
Were you referred? If so, by whom?
Please tell us how you became interested in attending the VETS program
Tell us a little about you:
Your Childhood
Your Adult Life
Your most enjoyable life experience
Your most difficult life experience
Signature

Clear
Date

MonthDayYear
Date
Acceptance process:

Each applicant may be interviewed by a representativeof VETS. Acceptance as an individual or as part of a group will be based onclass schedules, availability of an appropriate group for the applicant toparticipate in and available funding.
Should be Empty:

Enrollment Application