Heroes and Horses Application - (5/2024)

TROT Policies
Before completing this application, please open and read TROT's updated policy and procedure guide. By submitting this application, you acknowledge and agree to TROT's Terms and Conditions within the updated Policy and Procedure Guide.
Participant Information

Personal Health Information

To safely provide this service, our center requests that you work with your physician to complete/update the Medical History and Physician's Statement Form. Once completed by your physician, please submit to info@TROTarizona.org.

Personal Goals

Contact Information

Medical Emergency Contact Information
In the event of a medical emergency, TROT will provide basic first aid and/or call 911 and will disclose all available health care information to emergency medical personnel.

Participant Liability, Confidentiality Agreement, Photo and Video Release
I, the undersigned, understand that there are inherent risks of injury, including death, when participating in an equine activity. Such risks include but are not limited to (1) the propensity of an equine to behave in ways that may result in injury or death to persons on or around them, (2) the unpredictability of an equine’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or animals, (3) hazards such as surface and sub-surface conditions, (4) collisions with another equine or objects, and (5) the potential negligence of another participant, such as failing to maintain control over the equine or failure to act within the participant’s ability. Knowing and understanding the  risks of participating in an equine activity, including injury and death to my person and damage to my personal property, I expressly choose to assume these risks. Further, on behalf of myself, my heirs, successors, representatives, and assigns, I hereby unconditionally release any and all claims and causes of actions against the equine activity sponsor Therapeutic Riding of Tucson (TROT) and its, officers, directors, principals, employees, agents, representatives and any other personnel for injury including death and for any damage to personal property which may incur as a result of my participation in this equine activity. I, the undersigned agree to indemnify the above-described equine activity sponsor (including the above-described persons and entities) from any and all claims and causes of action brought by or on behalf of said participant at any time.

Confidentiality Agreement: I understand that all the personal information (written and verbal) about participants at TROT is confidential and not to be shared with anyone without expressed written consent of the participant of their parent/guardian if a minor. 

Photo and Video Release: The use and reproduction by TROT of any audio/visual materials taken of me/my child/my ward for distribution to the public for promotional printed materials, educational activities or for any other use for the benefit of the program. 

We are in the process of updating and streamlining our forms. If you encounter an error message when submitting your application, please take a screenshot of the error and send it to info@trotarizona.org. Thank you for your help!