Play Group Registration

Please email office@moonrisetherapeutics.org or call 802-299-8192 if you have any questions/concerns.

Please note: Experience with horses is not required to participate in horse connections prevention programming.

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Name *

First

Last

Names of each participant in your group and date of birth of anyone under 18 *

Mailing Address

Email *

Phone Number

What town do you live in? *

date programs Name

Have you participated in programs at MRT before?

Playgroup-

• Friday, October 2, 10 am-11:30 am

Is there anything else you would like us to know?

Submit

Thank you for registering! we will be in touch soon to confirm you registration and to email you permission forms and directions if needed.

By submitting your information your giving MRT permission to email you.