Register here for an Equinection program

Online Registration

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Contact & Questionnaire

Thank you for enrolling in an Equinection program. Because we are educators and not therapists, it is important that you are emotionally capable and willing to address personal challenges or conflicts that naturally arise as a result of deepening awareness. At Equinection, you will receive guidance, support, and compassionate teachings. If you are seeking psychological or medical help, our programs are not suited to your goals. We can direct you to Equine Facilitated Therapeutic or other programs that might be able to address your needs. If you have any concerns or questions regarding this issue, call Karen at 828-682-9157.

Please fill out the following form to complete the registration process; your answers to these questions help us to better know you and prepare for the workshop you will be attending.

Workshop Name Please enter the workshop name. Workshop Date Please enter the workshop date.
Participant Name
Please enter your name. 		Phone Number
Please enter your contact number.
Address 1
Please enter a valid street address.		 Cell (if different)
City / State / Zip
Please enter your city, state, and zip code.		 E-mail
Please enter a valid email address.Invalid format.
Place of Employment Profession

How did you learn about Equinection and/or this workshop?
Friend Colleague Website Brochure Other Minimum number of selections not met.Maximum number of selections exceeded.

Would you please give us their name so we can thank them?  

Workshop Fee: A value is required. Non-refundable Deposit (Due with Registration): A value is required.

Have you ever had a traumatic event with a horse? No Yes (please describe:)

List any medical conditions or physical limitations which might influence your work with horses:

Please enter a response.

Please tell us what you would like to gain from this workshop/session. What are your goals?

Please enter a response.

What, if any, are the challenges or obstacles you have that may interfere with achieving your goals?

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Is there anything else that you would like us to know that will help you get what you need from your experience at Equinection?