One Day Introductory Program Registration Δ CompanyThis field is for validation purposes and should be left unchanged.Name(Required) Prefix Dr.Mr.Mrs.MissMs.Mrs.Ms.Mx.Prof.Rev. First Last Birth Date(Required) Gender(Required)To which gender identity do you most identify?FemaleMaleTransgender femaleTransgender maleGender Variant / Non-conformingNot listedPrefer not to answerEmail(Required) Mobile(Required)Residential address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Which date do you want to attend?(Required) Expression of interest Wed 14 Oct 2026 Previous program attendance(Required)Have you ever been to a Horse Aid or Thoroughbred & Veteran Welfare Alliance (TVWA) program? No, I haven't been to any previous programs Yes, I have been to a previous program Details of previous program(Required)If you select "Yes" please provide details of the approximate date and location of the program and was it a One Day or Residential Program?Which of the following applies to you?(Required) I am a military veteran I am serving defence personnel I am serving First Responder I am ex-serving First Responder Other - please specify below Details of service(Required)If you have served or are serving, please provide details of your service and (if applicable) your exit.Other - please specify(Required)If you have selected "Other", please specify the basis on which you are registering your interest in the programWhy are you interested in a Horse Aid program?(Required)Please provide some detail of your reason for selecting Horse Aid programDietary requirements(Required)On the One Day Introductory Programs we provide breakfast, morning tea, lunch, afternoon tea, tea & coffee and cold drinks. If you have dietary requirements please bring your own food as for this size group for One Day it is challenging to vary the catering provided.. Yes, I have dietary requirements and will bring my own food No, I have no dietary requirements, please include me in catering Physical Capability(Required)We learn horsemanship skills on the ground with no riding. Are you able-bodied to respond to instructions to move quickly and in sand in a round yard? If you have an injury we will be in contact to determine if the round yard is suitable / safe for you. Yes, I am able-bodied No, I have an injury which may make this difficult Emergency contact name(Required) First Last Emergency contact relationship(Required)Emergency contact mobile(Required)Emergency contact email(Required) How did you hear about us?(Required)Please provide some details of how you heard about us. And if you are referred by a carer, psychologist or other professional we would welcome contact details so we can further discuss our programs with those who are willing to recommend us.Consent to communications I consent to receiving program updates, special offers, news and other marketing material from Horse Aid.
