Course application form - Equine Facilitated Therapy for toddlers 4-8 October 2020
Dates and fees - see http://educationinhippotherapy.com/courses/fees/

After submitting the application form you will receive a bill from us with detailed billing information.
Email address *
Surname *
Your answer
Name *
Your answer
Billing address *
Please write here name and address of the payer
Your answer
City/ State/ PC: *
Your answer
Phone *
Please include the phone idetification number of your country
Your answer
Profession *
Website of your Equine Facilitated Therapy centre *
Your answer
When did you completed your Equine Facilitated Therapy course? *
Your answer
In what country and under which association did you completed your Equine Facilitated Therapy course? *
Please be inform that a scan of your Equine Facilitated Therapy certificate will be required prior to the enrolment to the course.
Your answer
How many hours or years is your Equine Facilitated Therapy experience? *
Your answer
Average age of your Equine Facilitated Therapy patients? *
Your answer
Please write the duration of your rehabilitation expertise, age and diagnoses of your patients *
Your answer
Please write down the list of your completed rehabilitation courses - your favourite and most applied. *
Your answer
I have read and agree with the payment and cancellation policy. *
The Czech Equine Facilitated Therapy Association (CEFTA) reserves the right to adjust program dates, times and lecturers to accommodate unforeseen circumstances; we will only notify advanced registrants of any program changes. CEFTA is not responsible for any expenses incurred by registrants due to such adjustments. CEFTA reserve the right to cancel a course due to insufficient enrolment or unforeseen circumstances up to 2 weeks prior to start of the course. The course fee including administrative fee will be returned to the participants´ bank account within 2 weeks.If a participant wishes to cancel; cancellation notices must be provided in writing from participants up to 2 weeks prior to the course start date to receive a refund minus a 50 EUR administrative fee. No refunds will be given for cancellations received within two weeks prior to the start of the course.
The CEFTA can collect my personal data in the scope of the name, email address for communication till my written withdrawal. *
If you have any special request, please write it down.
Your answer
Where did you learn about this course? *
What is your expectation from this course? *
Your answer
A copy of your responses will be emailed to the address you provided.
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