Client Waitlist
Please fill out the following to be placed on our waitlist for Horse Assisted Therapy at Paradise Ranch.
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Name of client *
Age of client *
Diagnosis or reason for services
Are you a military household?
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What school does the client attend? *
Are you a returning client? *
Best days for therapy *
Parent or Guardian Name (where needed) *
Zip Code *
Email *
Address *
Phone number *
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