Therapeutic Riding Program Rider Application Form

Application to Participate

The process to apply for a spot in one of our programs includes filling out the application form.

If you are a New Rider, after you have completed and submitted this application form, we will be in contact with you in order to arrange an in-person visit to meet the applicant, to discuss their participation in the riding program and to answer any questions you may have.

If you are a returning rider, we will be in contact to confirm if we have a lesson spot available for you and if any of your forms on file require updating.

Intent to ride applications are accepted as of January 1 of each year and are reviewed with lesson spots allocated on a first come, first serve basis for applicants that meet the qualifications criteria.

Thank you for your interest in our program!

Please NOTE: Applications submitted before January 1 will not have priority and risk losing a lesson spot. Please be sure to submit your application on or after January 1

Name of Rider(Required)

First Last

Email(Required)

Riders Date of Birth(Required)

Riders Height(Required)

Riders Weight(Required)

Disability and how it affects the rider(Required)

Reason for intrest in our program(Required)

Name of Parent/Guardian(Required)

First Last

Address(Required)

Street Address Address Line 2 City Province Postal Code

Phone Number(Required)

Emergency Contact name and Phone Number(Required)

Therapeutic Riding Program Rider Application Form

Application to Participate

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