Rider Application - Classes
Thank you for your interest in Miracles in Motion. Please complete this application to apply for our classes. Please visit our website (www.miraclescanmoveyou.com) to download and print the General Liability, Photo Release, and Medical Form that need to be completed and returned. Please have participant's referring medical professional complete and sign the Medical Form.

This application form may take 15-30 minutes because of the detailed information about the participant. We look forward to having the participant out at the farm and want to learn as much information as possible.
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Email *
Is participant a new or returning student? *
If new, what previous horse experience has participant had outside of Miracles in Motion?
If returning, is there a favorite horse? (There is no guarantee that participant will be placed with this horse.)
If returning, is there another participant that you/or your participant would like to be placed with? (There is no guarantee that participants will be placed together).
Which of our classes do you wish to participate in? Check all that apply *
Please select all applicable sessions participant wishes to be enrolled (this is not a guarantee). *
Select the best days of the week for you. Check all that apply. *
Select the times that work best for you. Check all that apply. *
Participant First Name *
Participant Last Name *
Mailing Address *
City *
State *
Zip Code *
County *
Participant School Attending *
Participant Grade or Level Completed (if applicable) *
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