How to Apply

Thank you for your interest in participating at High Hopes! Please fill out the information below so we can contact you about our programs.

What are you inquiring about today?

Participating in Therapeutic Horsemanship Programs (Riding, Carriage Driving, Equine Learning)

Who is completing this form?

Your info

Please enter the name of the parent, guardian, staff or representative who is completing this form.

First Name

Last Name

Relationship to Prospective Participant

Prospective Participant Info

Prospective Participant's First Name

Prospective Participant's Last Name

Date of Birth

Primary Disability

Height

Why do we need this? Height & Weight help us guide you to the program that will be the best fit.

Weight

Why do we need this? Height & Weight help us guide you to the program that will be the best fit.

Comments or Questions

Contact Information

How would you like to receive Registration Forms?

Phone

Address Line 1

Address Line 2

City

Country

State

Postal Code

Therapeutic Riding	Therapeutic Carriage Driving
Equine Learning Program (unmounted)	Veterans' Programs
Summer Camp	Other

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