intake form Intake form Personal Sessions Getting to know you About YouYour Name(Required) First Last Parent/Caregiver name for 16-18 year olds(Required) First Last Your Address Street Address Address Line 2 City Postal Code Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Share a bit about yourself and your interest in animal included sessionsYour Comments/Questions(Required)Do you have interest in (choose all that apply) Wellness sessions Somatic sessions Life coaching sessions Online zoom sessions In person on the farm Funding accepted Private pay Autism Funding Unit Heritage Christian Online School Fraser Valley Aboriginal Children and Family Services Society Ministry of Children and Family Development Self Design Online School Children's Variety of BC Other Please note contracts must be approved and in place prior to the first session. AFU clients proof of application submission to AFU is required prior to the first session. What intentions or goals do you have for yourself?Do you have any medical conditions or allergies?Do you have any concerns working with animals?How did you find out about us? We do not offer horseback riding in our programs. Please allow up to 72 hours for us to contact you after your form is submitted. Thank you, Carla Webb