Registration

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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 #

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?

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

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Thank you! Your information has been submitted successfully. A confirmation email will be sent shortly including deposit information to ensure your spot is held. We look forward to working with you and your horses! "For the Life of the Horse" Equine Wellness Education

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 [email protected] Thank you!

2017 EFA Registration Form.docx