Company Name - Company Message
Family Ride Program
 
 
At Hoofprints we believe that families with special needs children and non-disabled children have unique challenges in meeting the needs of the family as a whole. While every family struggles with meeting everyone’s diverse needs, in families where disabilities are present this may be even more of a challenge.
 
The Family Ride Program provides an opportunity to promote family harmony and individual growth with emphasis on teamwork, positive communication, support for one another’s individual goals and the experience of pure enjoyment and camaraderie!
 
 
To Register Complete This Form
Family Ride Program Registration
Contact Name
Street Address
Ciyt, State, Zip Code
Home Phone
Cell Phone
Email Address
Do you have a family member in the current Therapuetic Riding Program?
yes
no
If yes, please complete registration for the new family member joining us. If your family is new to the program somone from the office will contact you regarding process. PLEASE indicate the best time to call you in the box below.
New Rider's Name:
Date of Birth:
Weight:
Height:
Riding Ability
Beginner (no previous expereince)
Some Familiarity (some lessons taken)
Independent Rider
Is there a disability that must be considered?
Yes
No
If "Yes" please provide details below.
Why are you applying for this program and what would you like to see accomplished?
Thank You! We will contact you shortly.
 
 
 
 
 
 
 
 
 
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