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Pre-Registration Form

Shining Horizons
Care Farm

Care Farm program (Pre-registration form)

Thank you for your interest in the Shining Horizons Care Farm Program.

Our Care Farm offers structured, supported activities in a natural farm environment, creating opportunities for personal development, emotional well-being, social connection, skill-building, and meaningful participation.
We welcome enquiries from families, healthcare and social service professionals, government departments, residential care providers, and community organizations.

Please complete this short form to help us understand your interest and the potential needs of the participant(s). Our team will contact you to discuss program suitability, availability, support requirements, and possible funding arrangements.

(Please note: Submitting this form does not guarantee placement.)

1 Who is completing the form?

I am completing this form as: (Required; please select one)

Multi choice

Are you enquiring about:

Multi choice

Contact information

What is the preferred way to contact you?

Multi choice

2 About the potential participant(s)

Age of participant(s)

Multi choice

Add your text

Which best describes the participant's current setting?

Multi choice

3 Participation and support needs

Would any additional support or accommodations be helpful for participation?

Multi choice

If yes, which areas should we discuss?

Multi choice

If support is required, would an accompanying support person potentially be available?

Multi choice

4 Scheduling and practical arrangements

How often would the participant be interested in attending?

Multi choice

Would transportation to and from the Care Farm be available?

Multi choice

5 Funding arrangements

How do you anticipate participation would be funded?

Multi choice

Who should we contact to discuss funding arrangements?

Multi choice
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