Participant Intake Form

This form is for NEW riders only. If you are are a current rider wanting to register for the next session, please go to the “H&H Community” (button on the top gray bar of your screen) to access the registration form.

Participant Intake Form

How to get enrolled at Hearts & Horses: Please fill out the Participant Intake Form below. 
Name of Participant:
FAPT/DHS Referrals, Foothills Gateway, Envision, etc.
Please enter your height as a decimal amount. Ex. 5'3" would be 5.3.
Contact Information:
Please provide information for a parent or caregiver instead of self if participant is a minor.
Mailing Address:
Participant Information:
To select multiple options, hold down "Control" key (PC) or the "Command" key (Mac) on your keyboard.
To select multiple options, hold down "Control" key (PC) or the "Command" key (Mac) on your keyboard.
Please provide all relevant information.
Please provide type and date of last incident if applicable.
Including wheelchair, cane, communication devices, etc.
I certify that the information supplied, to the best of my knowledge, is up to date and accurate.