Get Whispering Manes Participant's Application & Health History

Completing the Whispering Manes Participant’s Application & Health History is an essential step for individuals wishing to participate in the therapeutic riding programs offered. This guide will provide you with clear, step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete your application and health history.

1. Press the ‘Get Form’ button to access the application and open it in your preferred online editor.
2. Begin by filling in the general information section. Provide the participant’s full name, date of birth, age, height, weight, and gender. Ensure all fields are completed accurately.
3. Next, enter the participant's address, including the city, state, and zip code. Fill in the home phone, cell phone, and work phone numbers, as well as the email address.
4. Indicate the participant's employer or school name, along with the information for the parent, legal guardian, or caregiver. If the caregiver's address differs from the participant's, provide that information as well.
5. Detail the referral source by entering how you heard about the program.
6. In the medical information section, provide details regarding any allergies and indicate if the participant has a history of seizures, including the date of the last seizure if applicable.
7. Complete the emergency contact information. Provide the names, relationships, and phone numbers for two contacts.
8. Carefully read the privacy statement and medical release section. Make your choice regarding authorization for emergency medical aid by checking the appropriate box.
9. Sign and print your name where indicated, along with the date. If the participant is a minor, ensure a parent or legal guardian signs as well.
10. Once you have filled out all sections completely and accurately, save your changes. You may also download, print, or share the completed form as needed.

Complete your Whispering Manes Participant’s Application & Health History online today.