Horses Helping Humans Registration Form

Horses Helping Humans

Participant Registration Form
Name:

First NameLast Name
Parents Name:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*
1. Pre-Program Questions: What attracts you and your teen to experiential learning with horses?
2. Please tell us what you would like your teen to gain from this program. What, if any, are the challenges or obstacles does your teen have that may interfere with him/her achieving their goals?
3. Is there anything else you'd like me to know about your teen, before we begin our journey together, so that they can enjoy this program as much as possible?
4. We'd like to build a culture of safety, trust, and belonging so that all participants can experience the most supportive environment possible. Please consider what requests your teen might have of the group that will support them to experience more safety, trust, and belonging. For example, "I'd like to request that anyone can call a pause at any time during the program if she/he needs support or has something they need to have heard."
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Horses Helping Humans$635.00

Total $0.00
5. Cancellation and Refund Policy: The tuition of $635 includes a $300 non-refundable deposit, payment must accompany your application. You will receive a confirmation e-mail when your application is accepted into the program. Once you are accepted into the program, your deposit of $300 is non-refundable.

If you cancel within 45 days of the program 50% of tuition will be refunded less deposit. If you cancel within 14 days of the program no refund will be given. No exceptions to this policy. Funds are not transferable to other programs. Do you agree to the above terms? Please type your signature and date in the space provided below.
Signature and Date:
Warmly and with excitement for our upcoming journey together,

Gloria
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