MILITARY HORSEMANSHIP PROGRAM PARTICIPANT APPLICATION

Howdy!

Thank you for your interest in Free Rein Therapeutic Riding.

Details for potential participants:

We are located at In Cahoots Ranch - 6919 N Walnut Rd, Spokane WA 99217.
We have an indoor arena that keeps us out of inclement weather.
Services are free of charge for all eligible participants.

Military Horsemanship

This program runs for 6 weeks long and is open to participants that are active duty military and veterans.
All lessons are unmounted (no riding). Potential benefits include: improved communication skills, physical and emotional self-awareness, improved motor skills, sequencing of tasks, general horsemanship and groundwork skills, and clearer thinking.

If you have questions, would like to schedule a site visit, or prefer a paper application, please contact our office at 509-979-1468 or email us at info@freereinspokane.org.

Thank you in advance - we look forward to providing you and your family with health, hope, and happiness through equine-assisted services!

- Free Rein's Staff and Herd

Which session(s) and time(s) are you interested in? (select all that apply)

I'm Interested!

Participant's General Information

First Name

Last Name

Date of Birth

Gender

With which pronouns does the participant associate?

Mailing Address

City

State

Zip Code

Email

Phone

Military Branch

Other (please specify):

Ethnicity & Race

This information is optional, but completing this section aids our efforts in seeking grants and other funding sources. Any data provided is securely stored, aggregated, and shared anonymously.

Ethnicity: Are you Hispanic, Latino or Spanish origin?

If yes, select ethnicity (multiple may be selected)

Race

How did you hear about us?

Participant Health History

Please list all medications:

Please note any health concerns, allergies, seizures, EpiPen or inhaler used:

History with PTSD, anxiety, and depression? If comfortable, please explain further so we can better serve you.

Describe the participant's abilities in the following areas:

Horse experience:

No experience (never ridden a horse)Very little experience (rode once or twice)Some experience (rode throughout my life)Lots of experience (rode horses competitively)

Goals: Please list any goals you have for participation