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Participant Applicationcjkeeme2022-09-06T22:00:26-07:00

New Participant Application - 5/22/2020

  • Program Information

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Please enter a number from 4 to 99.

  • Availibility for the TROT Program

  • (Please check all that apply)

  • Participant Contact and Tuition 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.

  • Program Tuition Payment Details

  • $45 One Time Assessment Fee
  • I understand and agree that all paperwork must be up to date. All tuition is to be paid prior to the start of each semester or on the first day of class in full ($540) or in three (3) monthly installments of ($180). If applicable, all scholarship forms must accompany the rider application.
  • MM slash DD slash YYYY

  • Participant Liability, Confidentiality Agreement, Photo and Video Release

  • Liability Release: I acknowledge the risks and potential risks for horseback riding and activities in and around a facility where horses are kept, and farm machinery operated. However, I feel that the possible benefits to me/child/my ward are greater than the risk assumed. Intending legally to bind myself, my heirs, and assigns, executors or administrators, I hereby waive and release forever all claims for loss or damages of any kind against TROT, its Board of Directors, Instructors, Therapists, Aids, Volunteers and Employees for any and all injuries and losses that I/my child/my ward may sustain while participating in the TROT program. This release includes without limitation the risk of negligent instruction and supervision. I engage in activities at TROT voluntarily with knowledge of the risks and I assume all risks of injury, death, and property damage that may result. I agree to bear any loss myself. I acknowledge that TROT and the property owners are materially relying on this waiver and assumption of risk in allowing me/my child/my ward to participate in activities at TROT.
  • 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 or 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.

MISSION

Empowering individuals with diverse abilities to reach their full potential through equine-assisted services since 1974.

CONTACT

8920 E Woodland Road
Tucson, AZ 85749
(520) 749-2360
info@trotarizona.org

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