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ABOUT
ABOUT US
Our Board
Our Staff
PRESS
Financial Transparency
PROGRAMS
Impact
Volunteer
Donate
Resources
Workshop Application
2020 EI Workshop Application
Date
Name
First
Last
Last
Email
Phone
Address
Street
City
State
Zip
Gender
Male
Female
Emergency Contact
Relationship
Emergency Contact Phone
Year of Veterinary/ Veterinary Technician Degree/PhD:
Current Practice Type:
Specialty Training:
Please only include higher education
Other Horsemanship Skills:
Spanish Language Skills:
Profession:
Please describe your veterinary or other work background, species interest and experience:
Do you have any previous volunteer veterinary experience (either domestically or internationally)? If yes, please describe:
Why do you want to attend the Equitarian Workshop?
What do you hope to do with the Equitarian skills and experience you gain from the Workshop?
Anything else you'd like to share?
Please describe any dietary restrictions
Would you like to pay your $300 deposit now by Paypal?
Yes
If you would prefer to pay by check, submit the form with the button below and then please mail a check to:
Equitarian Initiative
PO Box 2143
Stillwater, MN 55082
Submit
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Contact Dr. Cassie Torhorst Wallor if you have logistical questions: 360-488-3718 or drcassie@uwalumni.com.
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