Therapeutic Riding Program Signup

Therapeutic Riding Program Signup — Form Fields

This nonprofit template includes 8 fields. Registration form for therapeutic horseback riding programs. Captures participant health information, riding experience, and emergency contact details. Free to customize and use on ZenBuild.

• Participant Full Name (text, required)
• Participant Age (number, required)
• Parent/Guardian Name (if under 18) (text, optional)
• Contact Email (email, required)
• Emergency Contact Name & Phone (text, required)
• Previous Horseback Riding Experience (multiple choice, required) — options: None, A few times, Experienced rider
• Medical Conditions or Physical Limitations (long text, required)
• Referral Source (dropdown selection, optional) — options: Doctor / Therapist, School, Friend / Family, Website / Social Media, Other