Application form for workshop Hippotherapy and Speech therapy
Thank you for your interest in this workshop. Please, submitt the application form and proceed the payment by 20th of March 2019.

Date: 5th April 2019 from 9.30 am to 12,30 pm (3 hours)
Place: Sdružení SRAZ, z.s., Toulcův Dvůr, Kubatova 10, Praha
Price: 40 EUR

Email address *
Surname *
Your answer
Name *
Your answer
Mobile number *
Your phone number including the prefix
Your answer
Country *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Česká hiporehabilitační společnost.