PROGRAM ENROLLMENT FORM Parent / Guardian Name * Phone * Email * Student Name * First Name Last Name Student DOB * MM DD YYYY Are you NDIS registered? * Yes No Program interested in: * Equine Assisted Learning (AEL) Equine Assisted Psychotherapy (EAP) Horse Wisdom Program I'd like to discuss the best fit Thank you for your interest! One of our counsellors will be in contact with you ASAP to discuss your enrollment.
