Healing Hooves Equine Facilitated Wellness and Animal Assisted Therapy

Explorations, Foundation, Focus and/ or Integration Training Program and/ or Mentoring

Delivered online and/ or onsite

Waivers

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  • I,
  • would like to participate in the program(s) as detailed above with Susan McIntosh and the Healing Hooves Animal Assisted and Equine Facilitated Wellness, Counselling and Training Program. I acknowledge the risks and potential for risk of both being around and interacting with horses and with other animals and in participating in professional training within an online and onsite format. However, I feel that the possible benefits to myself are greater than the risks assumed.
    I consent to be contacted by, and to communicate with, Susan McIntosh and her delegates through the online training platform and/ or by phone/ e-mail/ video conferencing, and/ or text at the contact numbers and e-mail addresses that I provide. I acknowledge that I have read and fully understand the risks, limitations, conditions of use, and instructions for use of the selected electronic communications as described in this document. I understand and accept the risks outlined in this document, associated with the use of the electronic communications with Susan McIntosh and her delegates. I consent to the conditions and will follow the instructions outlined as well as any other conditions that Susan McIntosh and her delegates may impose regarding electronic communications. I acknowledge and agree to communicate with Susan McIntosh and her delegates using these electronic communications with a full understanding of the risks in doing so. I confirm that any questions that I had regarding the provision of services through electronic communications have been answered by Susan McIntosh and/or her delegates.
    I confirm I have read, understood and agree to follow the Healing Hooves COVID 19 detailed protocols as detailed in this document. I confirm that I understand the risks of contraction of COVID-19 and/or any other illness, infectious disease or otherwise transmittable diseases.
    I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims against, and agree to indemnify and hold harmless, Susan McIntosh, Robert McIntosh, Maren McIntosh, Healing Hooves, and their counsellors, instructors, staff, volunteers, their heirs, successors, administrators, assigns or employees, individually and collectively, for any and all injuries and/or losses or harm I sustain while and/ or as a result of participating or interacting with Susan McIntosh, her delegates and/or Healing Hooves programs.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
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