Registration Form

Mary Last, CESMT-MMCP 561-644-4903 Info@handsonequineservices.com

Accepting calls Mon-Sat: 8:00 am - 6:00 pm, Sun: 12:00 - 5:00 pm (EST)

Workshop Registration Form

To Register:
Please complete and submit.
Note: Payment must be received in order to secure a spot due to limited space.
NOTE: Must use google if registering from cell phone.

Payment Information is located under the "About-FAQ's-Payment Tab" .
Call or text 561-644-4903 if you do not receive a follow-up email within two days.

* Indicates required field

Name of Workshop Attending *

Date of Workshop *

Participant Name *

First

Last

Phone Number *

Email *

Second Date Choice *

Parent/Legal Guardian of Minor *

First

Last

Age of Minor *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

First

Last

Emergency Contact Number *

Allergies or Medical Conditions/Concerns *

Previous Horse Related Experience *

Other *

Submit