Lesson/Session Availability Survey

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Availability Survey for Camp Red Cedar

Program Name:

Riding Lessons

Recreational Therapy

Name of participant: *

What is the best form of communication for you? *

Phone Call

Email

Text Message

Please provide contact information below (phone or email): *

What day of the week works best for your schedule: *

Monday AM/PM

Wednesday AM/PM

Thursday AM

Friday AM/PM

I am available for daytime lessons during the week throughout the school year? *

Yes

No

Best time frame for scheduling: *

8:30am-12:30pm

1:00pm-5:00pm

I am most interested in: *

On-going, year-around lessons

6-week lesson session

12-week lesson session

Unsure

Please let us know if any adaptive equipment is required: *

Sidewalker(s)

Surcingle

Rainbow Reins

Handled Reins

Gate Belt

Equicizer

Doesn't require additional equipment or unknown

Does the participant need additional supports, such as sidewalkers, or equipment that will help support their needs, if so, please check all any below.

Please provide any additional information to assist with scheduling:

Submit

Camp Red Cedar’s programs are CARF (Commission on Accreditation of Rehabilitation Facilities) accredited, the only PATH, Intl. (Professional Association of Therapeutic Horsemanship International) Premier Accredited Center in Northeastern Indiana, is a member of the Certified Horsemanship Association and the Indiana Horse Council.