Please read the information and mail only the application form found below along with your waiver/release

If a class is full, or is very close to the maximum allowed, the information will be posted here, on the course locations page and the course dates page. If there is no notice, then it should be presumed that there is room in the course.

If you have submitted your application on line (made a payment - Visa/MC), please fill out this application form and the waiver/release and send both to the address listed below. You may also scan the form with the most important pages - those being the top page with your name, and the bottom page with your signature and e-mail it to me (via the "Contact" section of this web site). We do not have a fax.

You may register for a course within two weeks prior to the course start date-this is not a cut off date. If this is the case, please call me so I can add your name to the list of registrants, and give you the homework information while your application is en route.

If the course is to begin in a few days, call me and please fill out this form and bring it with you to the course along with the full course fee-do not mail it as it will reach Ontario after class begins.

If you have not registered for a course on line (made a payment with PayPal), please fill out his form and the waiver/release form, and mail both to the address provided below with your deposit.

The balance of the course is due on the first day of class payable as: cheque, money order, cash or a print out receipt from PayPal if the balance is paid on line within 48 hours of the course start date.

**All applications must be accompanied by a $100 deposit cheque or money order made payable to: Sidonia McIntyre, properly dated - please see dates below.

** Except the 4 week courses. The deposit for these courses is $250.

The remaining balance on all classes is due on the first day of class - no post dated cheques will be accepted.

If you are bringing your horse to the course, you must contact the facility owner and make arrangements prior to the course. If the facility allows other horses on the property, their contact information will be posted on the course location page. You, as the owner are responsible for the health and well being of your horse, as such, you must bring sufficient hay for the week or enough to mix with the facility's hay to avoid a change in feed colic. Feed buckets, extra halter (web halter please - no rope halters during the course) and leads are always a good idea to bring.

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Course Prices:

Cheques are made payable to: Sidonia McIntyre

7 day Equine massage therapy courses

All provinces that do not have HST:

$800.00 + 5% GST = $840 - $100 deposit = $740 due on first day of class

Provinces that do have HST:

Ontario & Newfoundland: $800 + 13% HST = $914 - $100 deposit = $814 balance due on 1st day of class

Nova Sotia: $800 + 15% HST = $920 - $100 deposit = $820 balance due on 1st day of class

British Columbia: $800 + 12% HST = $896 - $100 deposit = $796 balance due on 1st day of class

Regarding all BC courses: when the provincial government changes the current HST to GST, then the course

cost will be adjusted accordingly. The taxes are charged at the time of the course.

 

4 week Equine massage therapy course:

Alberta: $2499.00 + 5% GST = 2623.95 - $250 deposit = 2373.95 balance due first day of class

Ontario: $2499.00 + 13% HST = 2823.87 - $250 deposit = $2573.87 balance due first day of class

For returning grads only from any massage course taught by me:

Alberta: $1999 + 5% GST = $2098.95 - $250 deposit = $1848.95 balance due first day of class

Ontario: $1999 + 13% HST = $2258.87 - $250 deposit = $2008.87 balance due first day of class

 

Equine vertbral realignment attendance course

All provinces that do not have the HST:

$500 + 5% GST = $525 - $100 deposit = $425 balance due first day of class

Provinces that do have HST:

Ontario: $500 + 13% HST = $565-$100 deposit = $465 balance due on first day of class

Nova Scotia : $500 + 15% HST = $575 - $100 deposit = $475 balance due on first day of class

British Columbia : $400 + 12% HST = $560 - $100 deposit = $460 balance due on first day of class

 

Available only for returning students from 2008-present day:

Advanced massage portion of the 7 day course only or grad would like to retake either the entire course:

All provinces that do not have HST:

$400 + $17.50 GST = $417.50 - $100 deposit = $317.50 balance due on first day of class

Provinces that do have HST:

Ontario: $400 + 13% HST = $452.00 - $100 deposit = $352 balance due on first day of class

Nova Scotia: $400 + 15% HST = $460 - $100 deposit = $360 balance due on first day of class

British Columia: $400 + 12% HST = $448 - $100 deposit = $348 balance due on first day of class

Advanced massage course days are:

Days 4-7: 8am-5pm, last day: 8am-12pm. ___________________________________________________________________________________________

Please note: Cheques are deposited two weeks prior to the course start date regardless of the date on the cheque. There is a $25 fee for any returned cheques.

You may cancel prior to two weeks of the course start date, and your cheque will be destroyed or if you have made a payment on line, it will be returned to you via cheque less the PayPal fee (see Cancellation policy).

Any cancellations within the two weeks prior to the course start date will result in forfeit of the deposit.

Although all courses are presumed to be moving forward, there is a class MINIUMUM of 6 students that must be registered. A final decision regarding a course is made no less than two weeks prior to the course start date.

If a class does not have the required number of students and the course is cancelled, then all students will be contacted, deposit cheques will be destroyed and any deposits via PayPal will be returned via cheque (not as a refund to the credit card) in their entirety.

If you do not receive a phone call to inform you of a cancellation, two weeks prior to the course start date, then it is to be presumed that the course is moving forward. You may e-mail (best) or call Sidonia to confirm a class is moving forward.

Please see the 'cancellation policy' area for the full cancellation policy.

Upon receipt of your application, you will receive a either a confirmation call (please be sure to receive your messages from familty members if they have taken a message!) or e-mail indicating that your application has been received. You will be given the pass codes for the on line homework. This is the only phone call you will receive.

If you have made a payment on line, you will not receive a phone call as your homework information will be e-mailed to you at the time of your on line payment. The application form is for our files and the waiver is mandatory for all participants

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Please print the 'course locations' page of the course you will be attending for full directions to the facility and any hotel/motel information.

Everyone! Please keep the following information as this is the information on the course for your reference.

Please be sure to write down the date of the course. The correct dates are located on the application form below, the 'course locations' page and the 'course dates' page.

Print a copy of the course location page as directions to every facility are listed here. Google search is not 100% accurate - my directions are!

My course date is: ________________________________________________

Cheques/money orders are made payable to: Sidonia McIntyre

Regardless of the date on the cheque (if the date is earlier than indicated below), all cheques are deposited 2 weeks prior to the course start date.

Please be at the facility on the first day of class at 7:45am, so class can begin promptly at 8am. There are some locations that have a high traffic volume, so please leave early! Please do a 'drive by' of the facility the day before the class if possible.

Massage classes are from 8-5pm daily. The last day of class will be concluded at noon.

Depending on the size of the vertebral realignment class, the times are:

day 1: 7:45 - 4pm, day 2 & 3: 8-4pm, day 4: 8am-12pm (noon)

It is to be presumed by all registrants that the course is moving forward. If a class is to be cancelled, you will receive notification by telephone. If a message cannot be left, then I will contact you via e-mail.

The remaining balance of the course is due on the first day of class. Payment is accepted as: cheque, money order or certified cheque made payable to: Sidonia McIntyre, cash or a printed receipt showing the payment has been made on line (if payment has been made 48 hours in advance of the course). Post dated cheques will not be accepted. The remaining balance must be paid on the first day of class or the student will not be permitted to take the manual home.

We do not have Visa/MC service at the course locations.

A receipt will be issued on the last day of class along with my GST/HST #

Pack: a lunch, sunscreen, hat, steel toed footware (if you have it), cushion or towel for sitting upon - some people like to bring collapsable chairs. I provide plastic stools if there are no chairs provided by the facility, and they can get quite uncomfortable. Please also pack gloves in case of cold weather- the dollar store thin gloves are perfect for massaging in cold weather- thick or leather gloves are not acceptable for massage.

Bug spray for yourself (and your horse if you are bringing your horse).

Although certainly not mandatory, it is always best to have your tetanus shot up to date as we do work in the barn - rusty nails and nips!

I do not allow video taping of the course or pictures of maneuvers , but you may bring your camera on the last day for group photos

My cell #, to be used in case of emergency only -this means that you cannot find the facility on the first day of class or an emergency has arisen during the week of the class - is 1-519-562-9992 . I do not answer this phone while I am teaching. Any questions should be directed to either my e-mail (through the 'contact' section of the web site- this is best as the internet never sleeps and I can return e-mails at any time of day or night), or please leave a message on my answering service - number is below.

Please print the waiver/release form. It is on the 'application forms' page directly below the link that brought you to this page. Please be sure to have someone witness and date the form. If the form is not done correctly, another must be filled out at the course. If you do not have a witness present, then a form can be filled out at the course.

Hotel/Motel/Lodging is the responsibility of each student. When possible, I list hotel/motel information on the course location page. The Chamber of Commerce is an excellent resource for finding accommodations.

Please exercise care and caution when on facility property as there are dogs, cats, horses and people. Please obey the speed limit - if one is not posted, the accepted limit is 15km/hr.

To leave me a message on my answering service call : 1-888-378-4632 (1-888-EQUINE2)

web site: www.equinerehab.ca

end of information for reference____________________________________________________________________________________

Deposits:

The 7 day massage and the VR courses require a $100 deposit.

The 4 week massage course requires a $250 deposit.

Cheques or money orders are made payable to: Sidonia McIntyre -please properly post date (see below). The balance of the course is due on the first day of class: cheque, money order, cash or on line (PayPal) printed receipt are all accepted. No post dated cheques will be accepted at the course.

Course dates:

Please check your date and post date your cheque:

Massage Courses 2012:

Hamilton, ON .............................. Feb 20-26 ................................................ post date Feb 06, 2012

Essex, ON ................................... March 09-15 ............................................ post date Feb 24

Edmonton, AB ............................March 18-24 ............................................ post date March 02

Ladysmith, BC ........................... March 30-April 05 .................................. post date March 16

Kelowna (Peachland), BC .......April 10-16 ............................................... post date March 27

Grande Prairie, AB ................... April 28-May 04 ....................................... post date April 13

Medicine Hat, AB ..................... May 06-12 .................................................. post date April 20

London, ON ............................... May 26-June 01 ....................................... post date May 11

Kingston, ON ............................ June 02-08 ................................................ post date May 18

River John, NS ......................... June 10-16 ................................................ post date May 25

Guelph, ON ................................ June 27-July 03 ....................................... post date June 13

Calgary (Pridiss), AB .............. August 4-10 .............................................. post date July 20

Regina, SK ................................ August 11-17 ........................................... post date July 27

Edmonton, AB .......................... August 18-24 ........................................... post date August 03

Langely, BC .............................. September 01-07 .................................... post date August 17

Kamloops, BC .......................... September 08-14 ................................... post date August 24

Rocky Mt. House, AB ............. September 15-21 ................................... post date August 31

Saskatoon, SK ......................... September 22-28 ................................... post date September 07

Brandon, MB ........................... Sept 29-October 05 ................................ post date September 14

Newmarket (Lindsay), ON .... October 07-13 .......................................... post date September 21

Owen Sound, ON ................... October 21-27 ........................................... post date October 05

 

4 week Massage Courses - only 2 are taught each year:

Edmonton, AB ... 4 week course ... July 07-Aug 03 ....$250 deposit ...... post date June 22

Essex, ON ... 4 week course ... Nov. 05-Dec. 02 .... $250 deposit ......... post date October 22

 

Advanced Equine Massage Therapy Course - Returning Grads only

Lindsay, ON ............................ October 14-20 ........................................... post date September 28

 

Vertebral Realignment Attendace Courses 2012

Edmonton, AB .............................. March 25-28 ......................post date March 09

Langley, BC .................................. April 06-09 ....................... post date March 23

Fairview, AB ................................. April 24-27 ....................... post date April 10

Medicine Hat, AB ......................... May 13-16 ......................... post date April 27

Regina, SK .................................... May 17-29 ........................ post date May 03

Edmonton, AB ............................. August 25-28 .................... post date August 10

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Please mail only the application form below. You may need to trim this first page to accommodate as each printer varies on how it reads this form.

___________Cut here and mail the form below_______________________

Application Form

Please fill out this form and the waiver/release form and mail them to:

Sidonia McIntyre
323 #34 Hwy W.
RR #1, Essex, ON N8M 2X5

Course location and date: ___________________________________________________

7 day Massage course _____ 4 week massage course _____ Vertebral realignment attendance course ______ __________________________________________________________________________________________

Returning grads only:

Advanced massage only days 4-7 _______ Retake 7 day course ________ 4 week massage course _______ Adv. Lindsay, ON ________

Returning graduates that would like to take: the advanced massage only, retake the course or are taking the 4 week course please fill out line below:

Original course location and year ____________________________________________________________________ ______________________________________________________________________________________________________________

I have made a payment on line ________ **You will not receive a phone call when this application form is received as your homework was given to you when you made the on line payment. ______ initial please

Name on credit card if different from the person attending ___________________________________

Only if you have made a payment on line, you may scan and e-mail your application form and waiver to my e-mail address: info@equinerehab.ca or equinerehab@xplornet.com - we do not have a fax machine. ________________________________________________________________________________________________

Please print very clearly and neatly. My husband scans and e-mails the forms to me while I am on the road.

Name as it is to appear on your certificate: ___________________________________________________

Address: ____________________________________________

City:
___________________________________
Province: ___________________

Postal Code: _______________________
Phone: _(_______)_________________________

Cell Phone: _(______)______________________



Email:
__________________________________

 

Horse experience (check one please) regarding ground work with horses:

I am: very ____ fairly ____ somewhat _____ not at all _____ confident. I have: lots _____ some______ no _____ experience

My horses are very respectful and do not push, nudge, try to run over me.

This statement is: accurate ____ somewhat accurate ____ not at all accurate _____ N/A ___

Due to a reading/learning disability, I need to take the test in oral rather than in written format (confidential) _________ (only write 'yes' if applicable, otherwise leave blank)

How did you find out about this course?

magazine (name) _____________________________________website/google/surfing internet ___________ received a brochure ___________

equine federation website ________ other website link ____________________________other _____________________________________

Do you belong to a provincial equestrian federation? ________ which one __________Do you belong to a riding club? Pony club? etc. _________

Name of riding club please: ___________________________________________________________________

If the applicant is 18 or over, please read and sign. If the applicant is under 18 (at the time of signing), then the parent/guardian must read and also sign.

By signing below, I (or the parent/guardian on behalf of the minor) agree that:

The balance of the course is due on the first day of class and is payable as a either: on line and I will bring a copy of the on line payment (no e-cheques), cheque, money order or cash. As e-cheques take 5-7 business days to process, they are not accepted as the balance of the payment as this is due on the first day of class.

I have read both the cancellation and refunds policies and agree to the terms and conditions therein.

If I need to cancel my attendance in the course, I will call and leave a message at: 1-888-378-4632. I understand that it is to be presumed that all courses are moving forward unless I receive notification by either telephone or e-mail that a course has been cancelled.

I have read, signed, dated and have witnessed my waiver/release form which is found under the 'application forms' button as a separate document, and have included it in this package to mail, and if it is not included I understand that I must sign and have witnessed a waiver/release if I am to participate in this course. The date for the witness must match the date of the attendee.

I understand that it is highly recommended that I wear safety shoes.

I understand that as we are working with horses, there is inherent danger in working with them, along with the dangers of working on horse properties, and I take full responsibility for my actions and further agree to follow all safety protocol as outlined in the course.

If I am bringing a horse to the facility, I am solely responsible for the safety and care of the animal, notwithstanding the rental agreement with the facility. I will make prior arrangements with the facilty and I will also bring sufficient hay for the horse during the course to help avoid colic from a change in feed.

Neither Equanimity (Equinimity) or Sidonia McIntyre will be held liable for any expenses incurred to me should a class be cancelled either before or within the two weeks prior to the course start date.

I take full responsibiity for any injury I may incur during this course.

Signature ____________________________________________________ Date _______________

Parent/guardian if applicable _____________________________________ Date ______________