Connecting with Horses Registration

The information you provide is held as private and will not be shared without your expressed permission. All fields marked with a red asterisk are required.

"*" indicates required fields

Name*

First Last

Email*

Phone*

If your phone number auto-fills with a "1" in front of it, please delete the "1" so that your full phone number comes through. Thank you.

Would you like to subscribe to the Earth Horse Healing email list?*

Yes please

I'm already signed up

No thanks

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please tell us about your experience handling horses.*

No prior horse experience is necessary. All activities are performed on the ground and there is no horseback riding involved.

What would you like to learn or gain from this workshop?*

Name of Emergency Contact*

First Last

Phone for Emergency Contact*

Do you have any medical conditions that might impair your ability to be around, handle and work with horses safely?*

Yes

If yes, please describe how your ability to work safely with horses may be impaired.

I am 18 years of age or older*

Yes

Registration Choices*

$825: Horse Connections & Equine Leadership and Partnership

$450: Horse Connections

$450: Equine Leadership and Partnership

Payment Method:*

Zelle: 609-276-9766, Virginia Krantz

PayPal: ginger@earthhorsehealing.com

How did you learn about the Connecting with Horses Workshop Series?*

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