Rider and Group Program Forms

Therapeutic Riding or Carriage Driving Inquiry

    Please select which adaptive service you are inquiring about.
  • Prospective Participant Information

  • Please enter the date of birth for the prospective rider. Minimum age is 4 years old.
  • Please enter a value between 4 and 100.
  • Parent/Guardian Contact Information

  • This field is for validation purposes and should be left unchanged.
 

Free Introductory Therapeutic Riding Lesson RSVP

 

Therapeutic Riding Registration Form

 

Therapeutic Riding Re-Enrollment Form

 

Liability & Release Form

 

Scholarship Application

 

Group Programs Inquiry

  • Please select all that apply.
  • This field is for validation purposes and should be left unchanged.
 

Downloadable Forms

 Health History & Physician’s Release

Download

 Scholarship Application

Download

 Liability & Release Form

Download

Volunteer Forms

Volunteer Application

 

Liability & Release Form

Please find the Liability & Release Form in the “Rider and Group Program Forms” section at the top.

Criminal History Consent Form

  • I understand that Agape Therapeutic Riding Resources will conduct a criminal history background check when processing my volunteer and/or employment application to include a search for criminal records in my counties of residence. Further, I understand that Agape Therapeutic Riding Resources will conduct an investigation to verify my social security number and information about past employment.

    I also understand that before I am denied participation in the volunteer program based on information obtained in this investigation, I will receive a copy of the findings and a written description of my rights under the Fair Credit Reporting Act.

    I understand if I disagree with the accuracy of any information in the findings, I must notify Executive Director of Agape within three (3) business days of receipt of the report in order to qualify for an opportunity to address the information contained in the criminal history/background check.

    I understand that the information contained in the criminal history/background check will be available to the person(s) involved in performing the criminal history/background checks and to the person(s) making volunteer and/or employment assignments and that this information will be used for the purpose of making decisions concerning volunteer and/or employment participation and assignments.

  • I HAVE FULLY READ AND FULLY UNDERSTAND THIS Consent Form for a Criminal Background Check. I UNDERSTAND THAT, BY SIGNING THIS DOCUMENT, I MAY BE WAIVING AND RELEASING CERTAIN IMPORTANT RIGHTS WHICH I MIGHT HAVE IF I DID NOT SIGN THIS AGREEMENT. I AM SIGNING THIS DOCUMENT VOLUNTARILY AND WITHOUT ANY COERCION.
  • This field is for validation purposes and should be left unchanged.
 

Group Volunteer Inquiry Form

  • This field is for validation purposes and should be left unchanged.
 

Volunteer Story Submission Form

  • This field is for validation purposes and should be left unchanged.
 

Giving Forms

General Giving

 

Rider Support Fund Contribution Form

    Please consider a recurring donation. Each month, we'll smile when we see your name:)

    For gifts larger than $1000, we request that you contact the office to arrange receipt, or simply mail a check.
  • Leave blank to give anonymously.
  • To finish paying with credit card or PayPal account, click the button below. If using a credit card, be sure the find the link on the following page that reads "No PayPal account? Pay using your credit or debit card."
  • This field is for validation purposes and should be left unchanged.
 

Adopt a Horse

Step 1 of 2

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  • In some cases, a horse may already be adopted in which case, we'll apply your sponsorship to begin as soon as the previous sponsorship duration is complete. Or you may select one of our horses that is not currently adopted.

    See the Agape horses.

  • Sponsor a Horse

    To only contribute to Buckets and Bales, leave this section blank.
  • Buckets & Bales

    Horses go through lots of hay (3-4 bales a day), and several individual horses need grain or other supplements each day (bucket). These costs add up, and Agape is asking for your help.

    Support your favorite horse – buy a bale for $15 or a bucket for $20. Each donation you make will nominate the horse (or horses) of your choice as finalists for the Top 5 “Horse of the Year” finalists. The “Horse of the Year” finalists (based off who receives the most Bucket & Bale nominations) will be selected at the end of every year!

  • See the Agape horses.

  • Price: $20.00 Quantity:
  • Price: $15.00 Quantity:
 

Donate a Horse

 

Career & Training Forms

Job Application

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PATH Certification Inquiry Form

  • Instructor Certification Inquiry Form

    Thank you for your interest in becoming certified at Agape. Please complete this brief inquiry form. An Agape staff member will be in touch with you shortly.
    Please select the level you will be at during the training period.
  • Please tell us when you would like to begin your training at Agape.
  • Please tell us anything else you feel is important for us to know regarding your instructor training at Agape.
  • This field is for validation purposes and should be left unchanged.
 

Internship Inquiry Form

  • Internship Inquiry Form

    Thank you for your interest in serving at Agape. Please complete this brief inquiry form. An Agape staff member will be in touch with you shortly regarding your potential internship at Agape.
    Please select the level you will be at during the internship.
  • Please select the focus area you are most interested in regarding an internship at Agape.
  • Please tell us when you would like to begin your internship at Agape.
  • Please tell us when you would need your internship to be completed.
  • Please tell us anything else you feel is important for us to know regarding your potential internship at Agape.
  • This field is for validation purposes and should be left unchanged.