Horses & Pathfinders Registration Form
Thank you for your interest in attending a Horses & Pathfinders program!
To reserve your place, please fill out the information below.
We look forward to meeting you in person.
Basic Information About You
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Please enter today's date
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First Name
First Name
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Last Name
Last Name
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Age
Age
Work: company and position
Marital status
Number of children
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Address 1
Address 2
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City
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State
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Postal Code
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Phone
Fax
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Email Address
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How did you hear about us?
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Include me on the confidential newsletter list so that I may keep current on Horses & Pathfinders news and events.
Yes
No
Medical
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Known allergies
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Allergic to bee stings?
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List medications you are currently taking for physical or psychological conditions
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Any injuries that we should be aware of?
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Year of last tetanus shot
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Name 2 emergency contacts, your relationship and their phone numbers:
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Anything else we should be aware of?
About the Activity For Which You Are Registering
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Programs or services that you're interested in participating
Father/Daughter or Son Day
Mother/Daughter Day Retreat
Equine Master Mind, 6 session series
Boys, Horses & Leadership After School
Public Demonstration:Horses, Herd & Leadership
Sensing Our Way On the Path of the Horse, 1-day workshop
EGE Leadership Presence 2-day workshop
E-G Weekly Empowerment Circle for Women
1-1 E-G Coaching, personal or professional
1-1 Somatic & Bareback Horsemanship
1-1 E-G Youth Leadership
Girls Youth Leadership Day Camp
Boys Youth Leadership Day Camp
Other, such as private group or team. Please specify
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Please check the beginning date of your activity preference.
See the
calendar
for list of activity date choices.
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Please wear sturdy shoes, pants and bring your own sunscreen, hat and bug repellent.
Fresh water is available. Lunch, snacks and beverages are provided for full day and multi-day activities.
Phone: 802-223-1903
Email: info@horsesandpathfinders.com
Map: 6899 Route 100B, Moretown, Vermont
Mail: 106 Lovers Lane, Waterbury, VT 05676