Bloom Behind the Mask

Behind the Mask

We are happy to hear of your interest in the Bloom Behind the Mask neurodiversity workshops with Flying Changes Virginia. These workshops are held once each month for 3-hour sessions featuring focus topics integrated with ground-based equine activities.Registration is offered on a monthly basis rather than requiring commitment to a full series. The cost is $70 per person for each session, with registration closing on the 1st of each month for that month’s workshop. A minimum of 6 participants is required for a session to be held, with a maximum of 10 participants per group.After completing this initial registration, we will be in touch with additional details and next steps.
Person completing this form:

First NameLast Name
Participant name:

First NameLast Name
Participant age?
Preferred Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Do you prefer to be contacted by email or text.
Please list any existing neurodivergent services participant has in place.
Are there any specific focus areas that would be of interest/need for these neurodivergent workshops.
Please select the dates of the sessions you plan to attend.
Signature
Should be Empty: