Participant Registration

Please fill out the form below to submit or print off a PDF version here: Participant Registration


Please complete the form below

Name *
Will a caregiver attend the program with you?
Yes/No & Location
Current Employer's Name Position Employer's Address Employer's Phone Number
May we contact your employer regarding becoming a business sponsor?
What led you to apply for Operation Horses and Heroes? *
Check all that apply
What is your experience with horses? *
What challenges do you deal with heading into this program? *
Check all that apply
Do you have any dietary restrictions?
Do you have any special requirements pertaining to the following?