HFF Equi First Aid Hosting Form

Hosting Form

For Equi First Aid Equine Classes instructed by Kimberly Harris of Harris Family Farm LLC
Host Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
1st Hosting Date *

MonthDayYear
Date
2nd Hosting Date*

MonthDayYear
Date
3rd Hosting Date

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Farm/Facility Name*
* Please note we cannot set up classes without the farm/facility owner's name, contact info, and permission to have the clinic(s). If you are filling this form out as a host but are not the owner of the farm/facility please list their contact info so they may be contacted
Farm/Facility Owner's Name
If you lease or carry insurance for the property you are considered "owner" for the sake of our contract and do not need to list a name here.
Farm/Facility Owner's E-mail Area Code Phone Number
Farm/Facility Website Address
Please copy and paste URL here
Social Media Links (If you do not have social media please provide an explanation of how we will get attendees for the classes outside of our company marketing efforts.). *
Please list "Closed Group" if you already have a group that wants to take this class.
Check out our Course Descriptions on the Equi First Aid website and choose which courses you would like to host below.

Equine First Aid
I would like to host the following class(es) (choose all that apply)*

Equine Emergency First Aid (pre-requisite course) - 6-8 hoursAdvanced Equine First Aid - 6-7 hoursAdvanced Equine First Aid Wilderness - 6-7 hoursBackcountry First Aid - 3-4 hoursFirst Aid Fundamentals 3-4 hoursHorse First Aid for Kids (ages 5-9) 3 hoursDisaster Planning and Emergency Preparedness 6-7 hoursSafe Trailering Practices 5-7 hoursLivestock Handling for First Responders 6-7 hours
Where did you hear about us and the classes?*

Harris Family Farm LLC Facebook PageEqui First Aid Facebook PageHarris Family Farm LLC WebsiteEqui First Aid WebsiteSocial Media OtherHost LocationOther
Comments/Special Accommodations (Optional)
Should be Empty: