Participant Applications

Dear Prospective High Hopes Participants, Parents, Caregivers and/or Teachers,

Thank you for your interest in High Hopes Therapeutic Riding, Inc.  Following are links to the various documents that High Hopes requires to be completed and returned to our office before you can be added to our waiting list. A one-time processing fee of $25 is required of all new and prospective participants. This non-refundable fee helps defray the cost of processing paperwork, and must accompany the completed registration forms at the time of original application. Please note that we make every attempt to include new participants where possible.

In reviewing the following forms, you will find a Medical History form that will need to be completed, signed and dated by your physician. This form also contains a list of conditions that may suggest precautions or contraindications to therapeutic horseback riding.  Please review this list.  High Hopes requires that all participants be able to sit independently prior to participation. If you have any questions about the suitability of any of our Equine Assisted Activities for you, please do not hesitate to contact Jeanna Pellino, Program Director, at 860-434-1974, Ext. 16 or email at jpellino@highhopestr.org.

• APPLICATION PROCESS AND PARTICIPANT POLICIES
• PARTICIPANT QUESTIONNAIRE
• REGISTRATION AND RELEASE FORM
• CONSENT FOR RELEASE OF INFORMATION
• AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT
• PARTICIPANT’S MEDICAL HISTORY & PHYSICIAN’S STATEMENT
• PRIMARY THERAPIST FORM
• MENTAL HEALTH DATA FORM