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Therapeutic Riding Interest List
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* Indicates required question
Parent/Guardian name
*
Your answer
Primary Contact Email Address
*
Your answer
Primary Contact Cell Phone Number
*
Your answer
Rider's name
*
Your answer
Rider's age and Diagnosis
*
Your answer
Is rider a client of The Regional Center?
*
Yes
No
I understand that the wait time for a potential riding spot is at least 2 years
*
yes
No
Are you able to pay full tuition out of pocket? ($1200 annually/ $400 per trimester)
*
Yes
No
If you are interested in mental health sessions, please contact the office 760-731-9168
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