A Country Princess Booking Inquiry Form

Equine Assisted Learning Booking Form

Once we receive the completed form, we will contact you shortly to confirm availability and discuss details.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address

Street Address

CityState / Province

Postal / Zip Code
Name of Child*

First NameLast Name
Age of Child *
Any health concerns or allergies we need to be aware of?
Choose your EAL package*
Reason for choosing Equine Assisted Learning?
I consent to the use of the images of myself or my child for promotional or educational purposesI DO NOT consent to the use of images
NOTE: At 'A Country Princess' all equine activities are done with MINI HORSES who are very small and not for riding. Ground work activities only.
Should be Empty:

Equine Assisted Learning Booking Form