EHP Advanced Fieldwork Registration

Please fill out this form to register for the EHP Advanced Fieldwork phase. 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*

Address*

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

What areas of your learning & development as an equine healer would you like supported in this fieldwork course?*

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 ago or older*

Yes

Tuition Payment Method*

Check

PayPal

Checks can be made to Ginger Krantz or Earth Horse Healing, LLC. Please text or email if you need my address. Thank you.

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