PROGRAM ENROLLMENT FORM Parent / Carer or Support Persons name * Phone * Email * Participant Name * First Name Last Name Participant DOB * MM DD YYYY Does the participant have a NDIS plan? * Yes No Program interested in: * Equine Assisted Learning (EAL) Equine Assisted Psychotherapy (EAP) Horse Wisdom Program / Amaroo Explorers / Amaroo Adventurers The Ranch Hand Program Corporate or Team Workshops School Holiday Programs 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.
