Healing Reins Mobile Experience Event Form
The Mobile Experience provides an equine educational learning lab — complete with miniature horses.
Event Date
*
-
Month
-
Day
Year
Date
Event Duration
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Arrival Time
*
Hour Minutes
AM
PM
AM/PM Option
Organization Name
*
Representative Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program Type (check all that apply)
*
Preschool
Literacy
Community Event
Teen/Adult
Number of Participants
*
Participant Age range
*
Preschool
K-6
6-12
Adult
Other
Location of Event
*
Indoor only
Outdoor no weather cover
Outdoor with weather cover
Indoor and Outdoor
Other
FOR OFFICE USE ONLY:
FOR OFFICE USE ONLY:
Leave Blank for HR Staff to Complete
Lead Instructor
Volunteers
Trailer Parking Considerations
Trailer
HRME
Monica
Sweetie?
Yes
No
HR Table?
Yes
No
Financial Obligation
Paid
HR "funded" visit
Other
Set-up details
HRME (Healing Reins Mobile Experience) Agreement
Sent to Orgnaization
Received from organization
Other
Payment
Invoice Sent
Paid, check received
Covered by HR
Other
Submit
Should be Empty: