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Jacobs Ladder Therapeutic Riding Center, Inc. 5866 Bradford Rd. N. Hair, GA 31632 229.794.1188 www.jacobsladderriding.com www.pathintl.org PARTICIPANTS APPLICATION AND HEALTH HISTORY Name: DOB: Age:
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How to fill out Jacobs Ladder Formrapeutic Riding:

01
Start by filling out the personal information section. Provide your full name, address, contact number, and email address.
02
Next, you will need to provide your date of birth and gender.
03
Fill out any medical information required. This may include any existing medical conditions, allergies, or medications you are currently taking.
04
Specify if you have any physical limitations or disabilities that might affect your participation in therapeutic riding.
05
Indicate your previous experience with horseback riding or any other related activities.
06
If applicable, provide emergency contact information. This should include the name, relationship, contact number, and address of at least one emergency contact person.
07
Read through and sign any necessary waivers or consent forms included in the Jacobs Ladder Formrapeutic Riding document.
08
Review the completed form for accuracy and make sure all required fields are filled out.
09
Submit the form to the relevant authority or organization.

Who needs Jacobs Ladder Formrapeutic Riding:

01
Individuals with physical disabilities or limitations who can benefit from therapeutic horseback riding.
02
People seeking a recreational activity that can enhance physical, cognitive, and emotional well-being.
03
Individuals who want to improve balance, coordination, and muscle strength through therapeutic riding.
04
Children or adults with neurological issues, such as cerebral palsy or autism, who may benefit from the calming and sensory experiences provided by horseback riding.
05
Those who would like to improve their confidence, social skills, and overall quality of life through the therapeutic aspect of horseback riding.
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Jacob's Ladder Therapeutic Riding is a program that offers horseback riding lessons to individuals with physical, cognitive, and emotional disabilities for therapeutic purposes.
Participants or their legal guardians are required to fill out the necessary paperwork for Jacob's Ladder Therapeutic Riding.
To fill out Jacob's Ladder Therapeutic Riding forms, participants or their legal guardians must provide information about the participant's medical history and current condition, as well as sign consent forms.
The purpose of Jacob's Ladder Therapeutic Riding is to improve the physical, emotional, and cognitive well-being of individuals with disabilities through horseback riding lessons.
Information that must be reported on Jacob's Ladder Therapeutic Riding forms includes the participant's personal information, medical history, emergency contacts, and consent for participation.
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