Loudoun Therapeutic Riding Participant Application                              Loudoun therapeutic riding                                    

General Information
















Parent/Guardian/Caregiver Information**REQUIRED if participant is under 18 years of age**










Health History  










Releases









Participant Availability: 


Next Steps:


Thank you for completing the required Participant Application. 


All LTR applications must be updated annually per our accreditation standards.


You will be redirected back to the forms page once you click Submit below. 


To complete the application process please print the required Physician’s Statement & Release form, have your physician complete, sign, date and then return to LTR, Inc. 


In addition, if the applicant receives physical, occupational, speech therapy, or mental health services, please download, or direct your therapist to the forms page to download, a Therapist Assessment Form.  This form is optional.


The LTR Program Director will contact you regarding the session schedule once available space is determined. Once space in a session is confirmed you will receive an invoice via email for program service fees.


If you are a prospective participant you will be contacted for a required initial visit & assessment.

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