JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Client Interest Form
Purpose: To determine appropriateness of client for services offered at Bald Cypress Equestrian
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Bald Cypress Equestrian
Address:
14000 Fredrick Rd West friendship MD 21794
Todays Date
:
*
MM
/
DD
/
YYYY
Inquirer Name/phone number:
*
Your answer
Which Service are you seeking?
*
Hippotherapy - This service must be completed by a licensed OT/PT/SLP utilizing horse movement to benefit physical and mental health/therapy goals of the client with assistance from volunteers.
Therapeutic Riding - An adaptive/recreational/sport activity, not therapy. Therefore, it is not covered by insurance.Completed by an instructor in conjunction with volunteers as needed to teach clients how to ride and care for their therapy horses.
Recreational/Competition Riding - Horseback riding lessons to learn how to care and ride or educate horses for leisure and work.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
