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Supported Rate Access Request

We never want cost to be the reason someone doesn't get support. This short form helps us understand your situation so we can find the right fit. There are no wrong answers.
This form is for people who genuinely cannot afford the full session rate. If you're able to pay, please book directly through our website.
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What's your name?

Whats your Email address?

Is this your first time being around horses in this kind of setting?

Is this your first time being around horses in this kind of setting?
A
B
C

What brings you to Waterford Equine-Assisted Healing? (a few sentences is fine)

Which days generally work best for you?

Which days generally work best for you?

What times of day do you prefer?

What times of day do you prefer?

Are there any specific dates or time windows that work well for you? (optional)

Which best describes your situation right now?

Which best describes your situation right now?
A
B
C

Anything else you'd like us to know? (optional)

Thanks for reaching out. We'll follow up within 2 to 3 business days with the next steps. Questions? info@waterfordeah.ca