Sliding Scale Form for Horse Sense North Programming
Thank you for requesting this form! We want to be part of the solution in removing financial barriers.

Your information will be kept completely confidential. It will only be accessed by Horse Sense North directors in order to make financial decisions. 
E-mail *
Your name:
Pronouns you would like us to use for you:
(She/her, he/him, they/them, other, prefer not to say)
Your phone number:
(We will try contacting you by email first.)
Which Horse Sense North program are you requesting this form for?
Please enter the program name and date:
*
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