Mandy's Farm Horseback Riding Interest Form
This form is designed for community members to indicate their interest in potentially initiating adaptive horsemanship (equine assisted health care) or horseback riding lessons through Mandy's Farm. This does not constitute a commitment or contract on the part of the community member or Mandy's Farm to initiate riding classes. These are scheduled and initiated based on a confirmed funding source, as well as a mutually agreed upon schedule. For more information, contact the Mandy's Farm Barn Manager at
Name of Potential Rider:
Date of Birth of Potential Rider:
Email Address (for Potential Rider or their parent/ guardian/ caregiver):
Phone Number (for Potential Rider or their parent/ guardian/ caregiver):
Riding Experience (not required for admission):
Primary Reason for Initiating Classes:
Rider has a disability and would like to build physical strength, self-confidence, and social skills.
Rider does not have a disability but would like to build physical strength, self-confidence, and social skills.
Rider is passionate about animals.
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