Registration for Equine Facilitated Wellness EFW Programs

Region

Which program(s) ar you interested in?

What do you hope to gain?

Have you had any experience with horses? Please provide details.

Medications and Allergies

Medical Conditions:

Emergency Contact (Name / Number)

Do you have Alberta Blue Cross Coverage? (Yes/ No)

Do you want a referral form completed by your medical provider? (Yes/No)

What is the name and phone number for your medical provider?

How did you hear about us?

Facebook

Instagram

Word of mouth

Other

Thank you for your message. It has been sent. We will contact you within 24 hours to review your registration and proceed with enrolling you in your program(s) of interest.

There was an error trying to send your message. Please try again later.

STEP 2

Pay for Group

(Note- Alberta residents can click here for payment options)

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Registration for Equine Facilitated Wellness EFW Programs

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