The participant listed above would like to participate in Opportune Acres programs. I acknowledge the risks and potential for risks of equine-assisted, water, off-site, outdoor activities (those seen and unseen). However, I feel that the possible benefits to myself/my son/my daughter/my ward are greater than the risk assumed. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damages against Opportune Acres, its Board of Directors, Instructors, Therapists, Aides, Volunteers, and Employees for any or all injuries and/or losses I/my son/my daughter/my ward may sustain while participating in Opportune Acres Programs. 

By typing my name (legal guardian) below, I indicate that I am of sound mind and I am in full agreement with the liability release mentioned above.  

I authorize Opportune Acres to the use and reproduction of any or all photographs, videos, and any other audiovisual materials taken of me/my son/my daughter/my ward for promotional printed material, educational activities, or any other use for the benefit of the program.

This authorization includes x-rays, surgery, hospitalization, medication, and any treatment procedure deemed “life-saving” by the physician. This provision will only be invoked if the parent/guardian or emergency contact is unable to be reached.

I hereby consent to evaluation by an occupational, physical, speech, or mental health therapist prior to or during participation in Opportune Acres programming. If physical therapy, occupational therapy, speech therapy, or mental health therapy is deemed appropriate, I give consent for treatment and/or telehealth services as outlined by the therapist which could consist of individual or group programming. I understand my session may consist of a co-facilitation session (therapist and aide/instructor both involved in session) or co-treatment session (two therapists from different disciplines involved in same session). I understand that volunteers will be part of treatment sessions as well.

Programs are not possible without public & private support.  If you would like to donate to our mission, please go to Opportune Acres General Donations Page.  ALL donations are tax-deductible.  Thank you!