ENROLL | Soul to Sole

Name

Phone

Street Address

City

State

Postal / Zip code

Gender

Ethnicity

Date of Birth

Emergency Contact

Insurance Provider

Do you have limited mobility or require a walker or wheelchair? If so please describe.

If yes, what program and what year?

Please let us know your goals for your time with us, any questions you have, and how you heard about our program. Thanks!

Thanks for your submission! A team member will get back with you shortly!

HEALING WITH HORSES