Pony Visit Request Form

Primary Contact Full Name

First NameLast Name

Contact Cell Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

I understand that on the day of the event a REINS Representative may reach out to this number via call or text in the event of additional information needed.

Address of Visit

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I understand there may be a donation fee associated with my pony visit. Payment will be discussed during the booking phone call. Scholarships are available for local educational opportunities.

I understand that a large truck and trailer will need clear access and space to park

Where can a large truck and horse trailer park on site?

What date and time work best for you?

Any other specific date and time, if the above selection is not suitable.

Date

Hour MinutesAM/PM Option

I understand that visits cannot be more than 2 hours long.

How many participants will be attending?

Tell us about your wants and expectations for the visit?

Please select activities you would like at the visit. Please note that activity availability depends on the size and ability of the group as well as the host facility space.

Other

If you selected other, please describe:

Would you like to be notified about promotional services?

Mini Horse Outreach Request Form

Availability

Liability Release