Participant Application Hautism and EA/SEL Tel: (505) 459-9813 or email: office@wilderwoodequinetherapy.org Name(required) Parent/Guardian Name (for EA/SEL if applicant under the age of 18) Email(required) Phone Number(required) Location (City, State)(required) Please check the following if you're interested in the Hautism program for adult participants: Aged 18 or older Minimum Grade 8 reading level Able to attend a two-week immersive program in New Mexico Be autistic (self diagnosis OR professional) I would like information on residential B&Bs in the area I am interested in either Summer Session I or Summer Session II I am interested in the Fall session I would like to be considered for a full or part-fee scholarship Please check the following if you're interested in the EA/SEL Equine Assisted program for participants between the ages of 8 and 18. Aged between 8 and 18 Able to commit to attending Wilderwood 90 minutes a week for 8-week session Autistic (self diagnosis OR professional) My child is interested in attending the Summer EA/SEL session My child is interested in attending the Fall EA/SEL session I would like my child to be considered for a full or part-fee scholarship Questions or Comments? Submit Δ Like this:Like Loading...
Tel: (505) 459-9813 or email: office@wilderwoodequinetherapy.org