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Participant Name *

First

Last

Participant Email *

Phone Number *

Full Address including postal code *

I'd like to register for the following workshop(s): *

A Day of Wellness & Rejuvenation with Horses
A Day of Fun and Connection with Horses
Connect with your Authentic Self
Express Your Heart with Horses & Allow Your Inner Unicorn to Shine Brightly (KIDS)
Take Back Your Life! Calming Anxious Thoughts and Feelings
Depression: Loosening the Reins. Find Yourself & Connect Again
Building Meaningful Relationships: Connecting with your Heart
Healthy Boundaries: Learning to Respect my Needs and Yours
Custom Workshop

Date of Birth of Participant *

Any food allergies, restrictions or other information that you'd like us to be aware of?

Would you like to be added to our mailing list and kept informed about future workshops & events? *

When are you usually available to attend workshops? *

I understand that my parent/guardian will be required to provide permission for me to attend a workshop if I am under 18 years old

Yes, I understand and consent for Sequoia Counselling to speak with my parent/guardian
I don’t want to participate if my parent is required to provide consent

Parent/Guardian Name if participant is under 18

First

Last

Parent/Guardian Phone Number if participant is under 18

Parent/Guardian Email if participant is under 18

If you selected a custom workshop, please let us know what you're looking for and how many participants you are hoping to accommodate.

Workshop Interest Form