Equine First Aid Training - "For the Life of the Horse"

Registration

Submit this form in order to register for upcoming courses. Payment is needed in order to guarantee a space. You will receive an email or phone call regarding the method of payment. Thank you! 

Equine Wellness Education Registration Form
I am registering for the following course(s):
Date of Preferred Course
Course Location
Name
Preferred Name Printed on Certificate
Address
City, Province
Postal Code
PH. #
Cell #
Email
ALLERGIES/MEDICAL CONCERNS:
Have you ever taken any equine first aid courses (or similar)? If yes, please describe:
Have you taken any equine massage or chiropractic courses (or similar)? If yes, please describe:
What do you hope to learn in this course?
Check the boxes which apply to you:
Horse Owner
Rider
Trainer
Competitor
Breeder
Equine Canada Certified Coach
How did you hear about this course?
Is there any other information that you would like the instructor(s) to know?
Menu Option
Emergency Contact Info - Name, PH #, Relationship
Preferred Payment Method

Please use the online form. However if you are having troubles with the online form, feel free to download this registration form (link below), fill it in and send it via email to equinewellnesseducation@hotmail.com. Thank you!





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