Preparing to Ride

Participant’s Form

The fields marked with (*) are required fields.

Enter Participant’s Name* Enter Participant’s Email Address* Enter Participant’s Age* Enter Participant’s Height* Enter Participant’s Weight* Enter a brief description of the diagnosis
Participant’s Address*
Day Time Phone Number* Cell Phone Number Parent or Guardian’s Name if Participant is under 18 years of age or requires a Guardian if over 18 years of age. List any equine riding experience of the Participant.
List Participant’s Goals in Therapeutic Riding.
Program