Registration for

An exploration of personal power and safety in a calm and protected setting.

complete the form below to register:

We will contact you shortly to confirm your registration and complete payment.

Name

First Name

Last Name

What are your pronouns?

(she/her, he/him, they/them, prefer not to say)

Email Address

Phone

We will be in touch via email, however we appreciate having a secondary way to contact you.

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Are you under the age of 18? If so, what is your age?

Do you have any food restrictions or allergies? If so, what are they?

Is there anything else you would like us to know?

Name of your emergency contact person:

Relationship with your emergency contact:

(sibling, parent, partner, friend, etc)

Emergency Contact Phone Number

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How did you hear about this workshop?

Mailing List

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Carmen Theobald (she/her), Founder and Director
carmen@horsesensenorth.com

Farm is located in Almaguin, ON, CA, on the traditional territory of the Anishinabek and Mississauga Nations. Read our full Land Acknowledgement by clicking here.