Horse Connections Prevention Programs Inquiry Form

See MRT’s 2023 Horse Connections Prevention Programs

MRT offers individual and group horse connections programming.

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. Financial options are available, we work to support equal access.

Your First and Last Name(required)

Date of Birth

Name of Person You Are Submitting For and their Date of Birth

Relationship to the Person You Are Submitting For

Mailing Address

Best Contact Email(required)

Best Phone Number(required)

What town do you live in?(required)

How did you hear about MoonRise Therapeutics?(required)

Have you participated in programs at MRT before?(required)

What is your experiences with horses?(required)

Which program(s) are you interested in?(required)

Individual Lessons Youth Horse Connections (May 3-June 7 2023) Circle Of Security Parenting Gathering ( June 14th 2023) Youth Horse Connections Camp (June 26-June 28 2023)

What are your hopes in working with us?(required)

Is there anything else you would like us to know?(required)