Hope on Horseback

Student Forms

To ensure that each client achieves the maximum benefit from our programs, as well as ensuring their safety, we require an application be submitted each year. Clients must at least 6 years of age.

Please complete the following pages:

Student Enrollment Application Form

Physician’s Referral Form (Precautions Form)

For students who rode within the past two years:
Annual Student Renewal Form

Session renewal form for students already enrolled in a class this year:

Session Renewal Form

For clinics only:

Clinic Enrollment Form

For students who would like to apply for a scholarship:

Scholarship Application Form

You can now pay by credit card. Just follow this link which will take you to our donor page. When you fill in the form at the bottom of the page, tell us in the comment section that you are paying for class.The form will then take you to PayPal. If you are not registered there, you can still pay by credit card as a guest. Credit card link

For questions and further information please contact our Program Director, Kimberly Danylko at program@hopehorseback.org or 814-474-5276

Working in partnership with the community, Hope on Horseback enriches the total well-being of eligible individuals by providing an engaged connection to horses through supervised equine-assisted
programs.

D O N A T E

Contact us

Hope on Horseback
Therapeutic Riding Center
10370 Barton Road
PO Box 483
Waterford, PA 16441-0483

Phone: (814) 474-5276
Email: director@hopehorseback.org

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