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Prospective Client Registration Form


Thank you for your interest in our Ranch programs. If you think you may have signed up in the past for Promise or Praying Hands Ranches (for any service), please contact our Business Manager at 303-841-4043 and we can update your record instead of creating a duplicate.

One form per client.

So we can customize your questions, please answer these questions before continuing:

Programs You are Intested In? Check all that apply

Not sure what a service is, just hover over the service title.
Adaptive Horsemanship Horsemanship and riding lessons adapted to the client’s ability

Equine Assisted Therapy (aka Hippotherapy) Physical, Occupational, or Speech therapy while horse-mounted

Equine Assisted Learning An experiential learning technique that facilitates personal growth by teaching social, emotional, and life skills through horsemanship

Mental Health Psychotherapy with an equine partner where appropriate

Music & Movement TherapyThe use of music and movement to improve physical and emotional health.

Supported Employment Prevocational training, Job Development, and Job Coaching for adults with intellectual disabilities.

Veterans Programs Description of Service

Are you completing this form for yourself? Yes      No
Is the Client covered under a Community Based Provider? Yes (Developmental Pathways, Rocky Mountain Human Services) No
Do you have insurance that may cover your services(s) -
NOTE: Adaptive Riding Program is not eligible for Insurance
Yes      No
Does the Client have a current ABA Provider? Yes      No