THR - Tecate Horse Rescue

Section 1 of 3: Participant Information and Program Details

Participant / Organization Information

Full Name (Individual/Teacher/Group Leader) *

School / Organization (if applicable)

Phone Number *

Email Address *

Best Way to Contact You *

Phone

Email

Section 2 of 3: Program Logistics and Curriculum

Program Details (Continued)

Preferred Date(s)* (Select at least one date)

Alternative Date(s)* (Select at least one date)

Number of Participants*

Age Range of Participants*

CURRICULUM SELECTION *

Horsemanship & Animal Care Basics Teamwork & Leadership Through Horses Communication & Problem-Solving Skills Nature, Ranch Life & Outdoor Skills Custom Program

ACCESSIBILITY & TRANSPORTATION

Transportation Needs* We can provide our own transportation We may need assistance with transportation

Special Needs / Accommodations (Optional)

Section 3 of 3: Payment, Notes and Signature

Payment & Support

Payment Type (check all that apply) * School-funded Direct Pay Sliding Scale Request (based on grant availability) Others

Additional Notes Or Questions

Signature

I confirm that the above information is accurate to the best of my knowledge.

Name (Type Full Name) *

Date *

CURRICULUM SELECTION *

ACCESSIBILITY & TRANSPORTATION

The Herd That Heals Wellness Weekend Retreat

The Herd That Heals Experience

Equine-Assisted Education Program Sign-Up Form

CURRICULUM SELECTION *

ACCESSIBILITY & TRANSPORTATION