Constellation with Horses Registration Form

Name:

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Select which workshop date you wish to attend

1. How did you learn about Healing with Horses Sanctuary and/or this program?

2. What interests you the most in working with horses?

3. Please describe any traumatic incidents you may have had, including any with a horse, and list any medical conditions or physical limitation that might influence your work with horses.

4. Please tell us what you would like to experience from this retreat. What, if any, are the challenges or obstacles you have that may interfere with you achieving the experience you would like to have?

5. Is there anything else you'd like me to know, that will help you receive what you need, before we begin our journey together?

My Products

Constellations with Horses Deposit$300.00

Constellations with Horses #1 w/Discount prior 2/24/19$1,380.00

Constellations with Horses #2 w/Discount prior 4/26/19$1,380.00

Constellations with Horses #3 w/Discount prior 7/18/19$1,380.00

Constellations with Horses - In Full + $1,480.00

2019 Series Early Bird prior 2/24/19 (save $600) In Full +$4,440.00

Total $0.00

Terms and Conditions:

Healing With Horses is a ground-based theraputic activity program with horses where there is no riding or teaching of horsemanship.

About Fees: Healing With Horses workshops/retreats are designed to offer individual attention; our groups are kept small in number to allow for the highest potential for growth and learning. Because of the limited group size all fees for workshops/retreats are non-refundable.

By submitting this form you agree to the above terms and conditions.

We appreciate the trust you place in us to help you come to a fuller understanding of yourself. We pledge to keep our work at the highest standard in all we teach and do. We commit to supporting and encouraging your deepened self-awareness.

REGISTRATION

Contact and Questionnaire: Please fill out the following form to complete your registration process; your answers to these questions help us to better know you and prepare the workshop/retreat you will be attending. We look forward to working with you!

7. Cancellation and Refund Policy: Cost: $1780.00 - payment via Paypal, to lifefocused@gmail.com A $300 nonrefundable deposit must accompany your registration. You will receive a confirmation email when you are accepted into the program. Balance of $1480 is due 2 weeks prior to program.

Once you are accepted into the program, your payment of $1780 or payment in full for the complete series is non-refundable. 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

If you are new to the way of the horse, I request you read Angela Dunning's book The Horse Leads The Way as well as Linda Kohanov's book Riding Between the Worlds: Expanding Our Potential Through The Way of the Horse. If you are new to Resonant Language, I request you read Sarah Peyton's book Your Resonant Self. I trust the more you learn before we begin our time together, the more you will receive from the program and the deeper we can go into the learning and connection. If you get to very few of the recommendations, I am confident that this program will still be rich and full of learning and connection for you!

Warmly and with excitement for our upcoming journey together,

Gloria

Constellations with Horses Programs