Geary Whiting's
Equine Massage School
P.O. Box 9
Harmony, CA 93435

PHONE NUMBER
(530) 410-5270

EMAIL ADDRESS
ftnsdr2@shasta.com

This form is to sign up for school, if you are wanting to ask additional questions regarding the school, email me at ftnsdr2@shasta.com. A $500.00 non-refundable deposit is required at time of sign-up . Please indicate payment method below.

FULL NAME:
MAILING ADDRESS:
PHONE:
EMAIL ADDRESS:
SELECT A SCHOOL DATE:
DO YOU HAVE ANY PREVIOUS EXPERIENCE W/HORSES?
Yes
No
WILL YOU HAVE ANY SPECIAL DIETARY NEEDS WHILE ATTENDING THIS SCHOOL?
Yes
No
PREFERRED?PAYMENT?TYPE?(check/cash/ credit card) / ADDITIONAL COMMENTS:

Please Verify Your Information Before Submitting