Home
Meet the Team
Chris
Suhani
Hazelnut
Training & Farrier
The Herd Effect ©
Event Space
Client Forms
Riding Release
Training Contract
New Horse Information
Layover Reservation Form
EAL Intake Form
Event Request Form
Covid Policy 2020
Equine assisted learning intake form
*
Indicates required field
Name of Client
*
First
Last
Age of Client
*
Parent's name if under 18
*
First
Last
[object Object]
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Please describe why you are seeking the EAL program?
*
Is there trauma in your history? Please describe (i.e. sexual, physical, emotional etc)
*
Please list and describe in detail any triggers we should be aware of.
*
What is your objective for these sessions?
*
Please provide any additional information you believe would help the success of these sessions.
*
Submit
Home
Meet the Team
Chris
Suhani
Hazelnut
Training & Farrier
The Herd Effect ©
Event Space
Client Forms
Riding Release
Training Contract
New Horse Information
Layover Reservation Form
EAL Intake Form
Event Request Form
Covid Policy 2020