Participant Application

BECOME A PARTICIPANT

Are you interested in participating at Renew by joining one of our Therapeutic Riding programs? We would love to meet you! Fill out this form to complete our New Participant Registration.

New Participant Details

Participant Full Name

First Name

Last Name

Phone Number

Diagnosis Details

For the purpose of scheduling equine assisted services. Your information will remain confidential.

Are you filling out this form on behalf of someone else?

Please list your details here:

First Name

Last Name

Phone Number

Relationship to Participant

Required Documents

Prior to your first lesson you must submit the following documents:

New Participant Application | Download
Physician's Statement | Download
Release of Information (For applicants attending with a group home or school group only) | Download

Once completed, Save your documents and upload them here to ensure your application is processed quickly. If you would like to submit your documents later, skip this step and email them.