EHP Online Registration Form 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* Would you like to subscribe to my email list?* Yes please I'm already signed up No thanks Would you like an introductory phone call with Ginger?* Yes No If yes, please enter 3 dates/ times in Eastern Time, when you are available for the call.Ginger will contact you via email with confirmation of the date/time.Phone Number*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.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please tell me about your experience with energy healing?*If you have none, it is fine.What is your experience with meditation?*If you have none, it is fine.Please tell me about the work you do professionally.*Describe your level of experience handling and working with horses.*What would you like to learn or gain from the EHP Training Course?*Are you interested in becoming a Certified Equine Healing Practitioner?* Yes, definitely I'm considering it Do you have any medical conditions that might impair your ability to be around, handle and work with horses safely?* No 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 No You must be 18 or older to enroll in class.Tuition: EHP Online Classes* Pay in full: $2,100 Two payments of: $1,050 Three payments of: $700 Four payments of: $525 Tuition: EHP Onsite Class* Pay in full: $1,250 I plan to attend, but pay at a later date. I do not plan to attend the Onsite class. Payment for On-site class is due by August 31 st.Payment Method* Zelle Check via US mail. (Ginger will email her address to you.) PayPal Checks can be payable to either Ginger Krantz or Earth Horse Healing, LLC. Check payments need to be received by February 14, 2025 to be eliglble for the discounted tuition. Thank you!How did you learn about Earth Horse Healing?* Δ