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COVID-19
About
Facilities
History
Vision, Mission, Values
Our Team
Our Horses
FAQs
Board of Directors
Careers
Full and Part Time Positions
PATH Certification Training
Programs
Adaptive Services
Therapeutic Riding
Veteran Programs
Begin riding today.
EFL
(for groups)
Stirrup Success
Memory Lane
Schedule a visit today!
Unbridled Leadership
Leadership Development
Youth Leadership Workshops
Request more information.
One Time Experiences
Agape Adventures Field Trips
Mini Visits
Request more information.
Volunteer
Individual Opportunities
Group Opportunities
Internships
Frequently Asked Questions
Volunteer Stories
Give
Sponsor A Rider
General Gift
The Saddle Club
Rider Support Fund
Adopt-A-Horse
Donate a Horse
Resources
News
Forms
Helpful Links
Annual Reports
Strategic Plan
Contact
Adaptive Services Inquiry
Please complete the form below.
Type of Adaptive Service You Are Interested In
Therapeutic Riding
Horses Helping Hoosier Heroes (Veterans)
Please select which adaptive service you are inquiring about.
Preferred Agape Location
*
Agape North - Cicero, IN (Veterans programming currently NOT available at Agape North)
Agape East - Greenfield, IN
Agape North is located at 24970 Mt. Pleasant Road in Cicero, IN.
Agape South is located at 5070 SR 67 N in Martinsville, IN.
Agape East is located at 531 W. 100 S. in Greenfield, IN.
Prospective Participant Information
Prospective Participant Name
*
First
Last
Birthdate
Date Format: MM slash DD slash YYYY
Please enter the date of birth for the prospective rider. Minimum age is 4 years old.
Age
Please enter a number from
4
to
100
.
Gender
*
Female
Male
Special Need/Diagnosis
Parent/Guardian Contact Information
Parent/Guardian Name
*
First
Last
Contact Email
*
Enter Email
Confirm Email
Preferred Phone Number
How do you prefer that we follow up with you?
Email
Phone
How did you hear about us?
*
Internet Search
Participant Related Referral
Other Referral
Event
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If you were referred by someone, please tell us who we can thank.
Anything else you would like us to know?
Email
This field is for validation purposes and should be left unchanged.