Are you registering to attend the R.E.S.E.T. Community Wellness Activation on Marion Barry Avenue
Sunday, September 27, 2026 | 10:00 AM–2:00 PM. A FREE, non-riding equine wellness day focused on connection, reflection, healing, and growth. Space is limited to 40 participants. Registration is required. This is a day retreat so be prepard to be with us for the entire time. Arrive 10 minutes early for check in.
Participants Name
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First Name
Last Name
Age
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Please Select
Under 12
12–15
16–17
18–24
25–34
35–44
45–54
55–64
65+
Email
*
example@example.com
Mobile Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Phone Number
*
Format: (000) 000-0000.
Have you ever participated in an equine or horse-centered experience before?
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Yes
No
Not Sure
What are you most looking forward to experiencing at R.E.S.E.T.?
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Mindfulness / Breathwork
Connecting with horses
Yoga / Movement
Outdoors
Relaxing and slowing down wellness practices
Trying something new
Connecting with community
Learning about horses
Art Therapy
Other
Comfort & Participation
Please share anything you feel comfortable sharing. This information helps our team create a welcoming experience for you.
Is there anything you would like our facilitators to know that may help you feel comfortable participating?
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Are you comfortable participating around horses?
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Yes
Somewhat
I'm Unsure
No
Safety & Participation Agreement
I understand that R.E.S.E.T. is a non-riding, experiential wellness experience involving horses and outdoor activities. I agree to follow all facilitator instructions and safety guidelines and understand that I may participate only within my own comfort level and abilities.
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I agree to the participant agreement
I understand that registration is required and that my registration is for the specific time slot I selected. I agree to arrive approximately 10 minutes before my scheduled experience.
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I understand and agree
Photo/Media Consent
May PS Wellness / The STAND Foundation photograph or record you during the event for promotional, educational, or program-related purposes?
May PS Wellness / The STAND Foundation photograph or record you during the event for promotional, educational, or program-related purposes?
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Yes, I give permission
No, I do not give permission
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Participant
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How did you hear about R.E.S.E.T.?
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Social Media
Friend / Family
Community Organization
School
PS Wellness
The STAND Foundation
Flyer / QR Code
Other
Submit
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