STAR Participant Interest Form

Please fill out this interest form and a member of our staff will reach out to you within 3 business days to discuss more information regarding potential placement on a waiting list for one of our programs.

Our minimum age to participate is 4 years old.  Please do not submit a form if they are younger than 3 1/2 years old.

***Please note by filling out this form, we cannot guarantee placement in our program or that equine assisted services is appropriate for an individual.

Primary Contact Information

Potential Participant Information