Therapeutic Riding Sessions- Registration
Rider's Weight (in order to match them with the best horse)
Parent or Guardian's Name (if rider is under 18)
Does the rider have any previous horse experience?
If yes, please describe
What is your desired frequency of sessions?
EMERGENCY CONTACT INFO
Please provide details of the best person to contact in the event of an emergency.
Emergency Contact Name
Emergency Contact Phone Number
Please provide some details of what you'd like us to create together.
Do you have an intention for these sessions? What goals or outcomes are you seeking?
Are there physical, emotional, developmental, or medical needs we should be aware of? Any allergies? Please include a diagnosis if applicable.
Is there anything else you'd like to tell us?
Just a few more things, we promise...
Would you like to receive our newsletter?
Do you give consent for photo/video of the rider to be used to share this work with others?
THANKS SO MUCH AND WE LOOK FORWARD TO WORKING WITH YOU AT MOUNTAIN HORSE SCHOOL
Please fill out the fields marked with an asterisk.