Research Sign-Up Form

Therapeutic Impact of Brief Interactions with Goats

To register for an upcoming research session, please complete the following form. Once we receive your information, we will reach out to schedule a precise appointment time within the study window.

Research Session

December 7, 12–3 pm

January - date and time TBA

February - date and time TBA

Participant Information

Name of Research Participant

Has participant ever been a client at Cultivate Care Farms?

For this study, only individuals who have never previously been clients of CCF are eligible.

Yes

No

Participant Date of Birth

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Participant Gender Identity (optional)

Participant Ethnicity (optional)

Guardian Information (if under 18)

Guardian Name

First Name

Last Name

Your Relationship to the Client

If you are reaching out for yourself, please enter Self.

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How did you hear about us?

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Research Sign-Up Form

Therapeutic Impact of Brief Interactions with Goats

CULTIVATE CARE FARMS