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A unique professional development experience

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Referral Form

Please fill out the following form to refer your client to our services.

Referring Agency

Referring Agency Name

Agency Contact Person

Email

Phone

Participant Information

First Name

Last Name

Email

Phone

Date of Birth

Emergency Contact / Guardians

Emergency Contact

Emergency Phone

Contact Relationship

Referral Details

Reason for referral:

Medical issues, allergies or risks we should know about:

I understand that the full session fee is still payable to Salta Horses if cancellations are made with less than 12 hours notice.

Signature of Referrer

Thank you for the referral

info@saltahorses.co.nz

Participation Form

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Everyone loved it and most importantly have been able to link the learnings back to their own leadership and relationships.

We couldn’t have asked for more.

Miranda Barnes, Group People Development Manager, Ryman Healthcare

Terms of Service

Cancellation Policy

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