EQUINE-ASSISTED THERAPY | COUNSELLING | SUPERVISION | FAMILY & SYSTEMIC CONSTELLATION
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Booking Form FOR GROUP SESSION WORKSHOP
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
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Indicates required field
Name
*
First
Last
Email
*
Mobile/Tel Number
*
Occupation
*
Address
*
Please tell us which workshop you will be attending
Choose One
*
22 APRIL 2023, SATURDAY, 10AM-1PM
24 JUNE 2023, SATURDAY, 10AM-1PM
26 AUG 2023, SATURDAY, 10AM-1PM
other info
Emergency Contact Name
*
Emergency Contact Mobile/Tel
*
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)
*
PAYMENT
How would you like to pay?
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Credit/Debit Card Online
Bank Transfer
Would You Like Us to Send You Emails about Future Workshops?
Please choose one
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Yes
No
When you click 'SUBMIT' below, you will be directed to a payment page to confirm your booking.
SUBMIT
Home
WORKSHOP
Group Session
TRAINING
HGSC
BOOKING
Book Individual Session
Book Group Session Workshop
SUPERVISION
TESTIMONIALS
CONTACT
MEMBERS
CIFF Module 1
CIFF Module 2
CIFF Module 3
PAYMENT
Payment Individual Session
Payment for Group Session Workshop