Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
How did you hear about AHEC, Inc (friend, social media, etc)
*
What is your Equine experience?
*
Experience
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Did you serve in the military if so what branch? How many years? Are you a first responder? If so, what type, location and how many years? Were you honorably discharged?
*
What is it you hope to achieve in participating in AHEC, Inc?
PTSD Therapy
Equine experience
Community connection
Ranch experience
Farming experience
Gardening experience
Meditation/ Tai Chi
Other
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If you are a local and want to volunteer let us know here. All volunteers go through a background check. If certified in a specific skill please list below. If not you don’t want to volunteer, type “pass.”
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If you are a person or organization that wants to sponsor an American Hero or event today leave your details below and schedule a call back and/ Or e-mail us at info@ahec-inc.org.
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All participants must sign a hold harmless waiver/ contract upon arriving. You are waiving your right to litigation. You continue at your own risk. When you submit this questionnaire you concur to that effect. Type “concur” and your name below to continue.
*
Waiver of liability
Submit
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