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Whispering Manes Participants Application Health History free printable template

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PARTICIPANTS APPLICATION & HEALTH HISTORY Form must be completed in its entirety. Forms without signatures/dates will be returnedGENERAL INFORMATION Participants Full Name: DOB: Age: Height: Weight:
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How to fill out Whispering Manes Participants Application Health History

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How to fill out Whispering Manes Participant's Application & Health History

01
Obtain the Whispering Manes Participant's Application & Health History form from the official website or the program office.
02
Fill out personal information, including the participant's name, age, address, and contact details.
03
Complete the health history section, detailing any medical conditions, allergies, or medications the participant is currently taking.
04
Provide emergency contact information and any additional notes or special considerations needed for the participant.
05
Review the application for any errors or missing information.
06
Sign and date the application to certify that all information provided is accurate and complete.
07
Submit the application and health history form to the designated program coordinator via email, mail, or in person.

Who needs Whispering Manes Participant's Application & Health History?

01
Individuals interested in participating in Whispering Manes programs such as therapeutic horseback riding or other equine-assisted activities.
02
Parents or guardians of minors wishing to enroll their children in Whispering Manes programs.
03
Caregivers or family members seeking therapy options for individuals with specific health or emotional needs.
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Whispering Manes Participant's Application & Health History is a document that collects essential information regarding a participant's medical background, preferences, and any specific needs to ensure safe and appropriate participation in programs.
All participants, including their guardians if they are minors, must file the Whispering Manes Participant's Application & Health History before participating in any programs, ensuring that necessary health information is available.
To fill out the application, provide accurate personal details, describe any medical conditions, medications, allergies, and include emergency contact information. It is important to ensure all information is updated and complete.
The purpose of the application and health history is to evaluate the participant's health status, identify any special needs, and ensure their safety during activities offered by Whispering Manes.
Participants must report personal information such as name, age, and contact details, along with medical histories including existing health conditions, medications being taken, allergies, and any relevant psychological conditions.
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