contact us

Use the form on the right to contact us.

You can edit the text in this area, and change where the contact form on the right submits to, by entering edit mode using the modes on the bottom right.

           

123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

You can set your address, phone number, email and site description in the settings tab.
Link to read me page with more information.

Ecotherapy Intake Request

If you are interested in Equine-Facilitated Ecotherapy please complete this form and  I will contact you to arrange an Intake Session.

Are you interested in: *
(Small Group Sessions will run when there are 4 people available for the same weekly time block.)
Name *
Name
Address
Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Preferred Phone #
Availability
Please check all days and times you are available: am= start time 10:00 am; pm= start time 1:00 pm; hs = start time 5:00 pm (winter)
Are there any particular dates that you would not be available (from the choices made above):