Heartland Therapeutic Riding - 2022 Application

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General Info
Who do we contact for scheduling, form completion, etc.?
If you need a different week than your age group is assigned, please contact us at info@htrmail.org and we will see what we can do.
Emergency Information
Who do we contact in the event Guardian is unavailable?
Diagnosis and Medical History
If your child has do diagnosis, select "Typically developing - No Diagnosis"
Seizure Information (skip this section if the participant does not have a history of seizures)