Booking Form for Individual Session

Booking Form FOR individual SESSIONS

We adhere to General Data Protection Regulation.
The information you provide is confidential and will not be shared or distributed to a third party.

YOUR DETAILS

* Indicates required field

Name *

First

Last

Email *

Mobile/Tel Number *

Occupation *

Address *

BOOKING FOR INDIVIDUAL SESSION

Choose One *

Horse guided constellation session Non-horse guided session

Preference for session *

In person at our venue Remote e.g. via Zoom/WhatsApp/Phone

EMERGENCY CONTACT

Emergency Contact Name *

Emergency Contact Mobile/Tel *

Further information

How did you hear about us? *

List medical conditions, injuries, diagnosis *

Brief reason for wanting a session *

Brief outline of experience with horses (if any) Do let us know if nervous around horses. Only fill in if participating in a horse guided session/workshop *

Would You Like Us to Send You Emails about Future Workshops?

Please choose one *

Yes No

When you click 'SUBMIT' below, you will be directed to a confirmation page.

SUBMIT