Thank you for your interest in Rainbow Therapeutic Riding Center!

We’d like to learn a little bit more about you/our potential student. Please take a few minutes to fill out and submit our questionnaire and we will respond to you shortly. Please note: Insurance plans are not accepted but scholarships may be available for qualified applicants.

Parent/Guardian's Name

First Name

Last Name

Parent/Guardian's Phone

(###)

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Student's Name

First Name

Last Name

Student's Age

Students must be aged 4 or over

Student's Height

Student's Weight

Student's Medical Diagnosis (If any)

Areas where student may need special assistance (if any)

Does the Student have previous horse experience in any capacity?

What goals are you hoping to achieve at Rainbow?

Please feel free to share as much information as you like!

What days/times would work best for lessons?

Rainbow operates Tuesday thru Saturday, 11am - 6pm

Is there any other information you would like to share with us?

How did you hear about Rainbow Riding?

Thank you for your interest in Rainbow Therapeutic Riding Center!

Weather Cancellations: If you are unsure if your lesson has been cancelled due to weather, please check directly with your instructor.