Participant 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.

Email address *
Is participant a new or returning student? *
If new, what previous horse experience has participant had outside of Miracles in Motion?
Your answer
If returning, is there a favorite horse? (There is no guarantee that participant will be placed with this horse.)
Your answer
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).
Your answer
Which of our classes are you wanting to participate *
Required
Please select all applicable sessions participant wishes to be enrolled (this is not a guarantee). *
Required
Participant First Name *
Your answer
Participant Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Your answer
Participant School Attending *
Your answer
Participant Grade or Level Completed (if applicable) *
Your answer
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