Horse Spirit Connections

Workshop Registration Form - Please complete all fields
Name of Workshop
Date of Workshop
Name
Address
Phone	Home
	Work
	Cell
Email
Date of Birth
Food Allergies
Emergency Contact
Emergency Phone
Non Refundable DEPOSIT
Total Workshop Fee
Spaces are accepted on a first-come basis. Your deposit, along with receipt of your registration form, secures your space. Please bring the balance with you on the first day of the workshop. Please make cheques payable to: Horse Spirit Connections Mail to: RR4 #1034 10th Sideroad, Tottenham, Ontario L0G 1W0 Contact Wendy for more information: 905 936 4450