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Therapeutic
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Therapeutic Riding
Participant information
First name
Last name
Birthday
Year
Month
Month
Day
Weight (weight restriction 150 pounds)
Height
Diagnosis
Parent / Caregiver information
First name parent / caretaker
Last name parents / caretaker
Address
City
Postal code
Phone
Email
To ensure the safety and comfort of all participants, as well as the welfare of our horses, we kindly ask you to provide us with the participants height and weight. This will help us match each rider with a suitable horse. (All info is kept confidential)
Do you have additional information which Shining Horizons should be aware of enhancing your child's participation.
Submit your registration
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