MANES & TAILS
Networking with Stables of Aroostook
NAME of recipient: (or gender and age if you wish to remain unidentified)
________________________________________________________________
AGE(optional) _______________
RESPONSIBLE PARTY(if under age):
______________________________________________________________
ADDRESS: _____________________________________________________________________
PHONE #: ____________________________________
OTHER CONTACT INFO:
Email_____________________________________________________________
Facility: __________________________________
Total Cost of Service: _______________________
% Requested: _____________________________
Length of Service: __________________________
Brief Summary of Need:
_______________________________________________________________
_______________________________________________________________
Would you, or is there someone you know, assist Manes & Tails with their
Fundraising Committee or other events:
__________________________________________________________________________
Pictures or videos are sometimes taken during classes to aid training or for
demonstration.
Consent given for public release of pictures, video: Yes_____ No______
Signature:
Date:
Manes & Tails is a non-profit organization. A scholarship fund is available
to individuals wishing to participate in equine activities and who could not
otherwise do so. Funds are limited but each applicant will be considered and
very effort will be make to assist with costs. Please complete the following
information and mail to:
Manes and Tails
% Pamela
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