Personalized Program or Private, Semi-Private Sessions

Name:

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

1. How did you learn about Healing With Horses Sanctuary 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 intensive. 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?

Logistical Information: This Program and/or Sessions will provide you with a personal transformational experience with Horse, including activities, an individual session with Horse, lectures, a folder with handouts, and personal time with Gloria.

My Products

Personal Intensive Deposit$397.00

Couples Intensive Deposit$497.00

Total $0.00

Terms and Conditions:

Healing You Sanctuary offers a ground-based activities and constellation programs with horses where there is no riding or teaching of horsemanship.

About Fees: Healing You Sanctuary workshops/retreats/programs are designed to offer individual attention; all 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/program you will be attending. We look forward to working with you!

Once your registration is complete you will receive a confirmation email with an agreement, hold harmless, safety contract and release form to prepare for your journey!

Cancellation and Refund Policy:

Once your registration is completed, your deposit ($170 for individual, $190 for couples, $297 for personal intensive, or $397 for couples intensive) 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:

Warmly and with excitement for our upcoming journey together,

Gloria

Individual/Couples/Intensive - Constellation Session