Registration

Registration – Caring for the Caregiver

First and Last Name*

Mailing Address

E-mail*

Phone Number

Job title and population you work with

Horse experience/comfort with horses

Any allergies?

How did you hear about this program?

Registration fee total including gst is $183.75

Please send e-transfer to unbridledpotential@shaw.ca. Paypal, cheques (Unbridled Potential Equine Services) or cash. Your spot is reserved upon full payment. Thank you!