Course Enrollment Form

The form below will complete your enrollment in the course for which you have set up a payment plan with us. Please review our Course Logistics and Policies for additional details and reach out to us at admin@integratedequinetherapies.com with any questions.

Name

First Name

Last Name

Email

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

Emergency Contact Phone Number

Please indicate which course you are submitting this form for: (course & date)

I have reviewed and accepted the Payment Plan Contract.

I have read, understood, and agreed to the Course Logistics and Policies (see link at top of page).

I agree to complete any forms or waivers when prompted by Integrated Equine Therapies to attend this course.

Course Enrollment Form

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