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Session Referral Form

Client Full Name

Date of Birth

Street Address

Street Address Line 2

City

Postal / Zip code

Name or organisation referral by.

Reason for referral. Please use this section to send us a little information about the reason for referral and what outcomes you would like to achieve

Please advise on the best of your knowlegde any of the following. Risk to self or others. Alcohol/Substance use. Education setting (school)

Session Feedback

Please rate your experience at The Ranch

Were your outcomes met?

What was the best part of the session?

The Green Space

The people

The animals

The Activity

How likely are you to recommed The Ranch

What session did you attend?

Animal Assisted intervention

Equine Assisted intervention

Goat yoga

Mini Ranchers

Goat walk

Ranchers

Your email

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Let’s Work Together

Get in touch so we can start working together.

First Name

Last Name

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Message

Contact

For Alternative Education: office@theranchweymouth.com

For The Ranch Dorset CIC: TheRanchDorsetCIC@theranchweymouth.com

Address

The Ranch Xtreme (The Green Goat) Alternative Provision Unit M4 Merlin, Navigator Park, Mereside, Portland, DT5 1FU

Xtreme at Dorset Falconry Park, Lewell Mill Lane, Lewell, Nr Dorchester, DT2 8AN

The Ranch on The Wild Side, Unit M4 Merlin, Navigator Park, Mereside, Portland, DT5 1FU

The Ranch Dorset CIC at Coombe Valley Rd, Preston, Weymouth DT3, UK (access is restricted please contact TheRanchDorsetCIC@theranchweymouth.com)

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