Connecting Through horses is a 5 month program for Adults in the I/DD community that live in Denver county. Before you register please make sure you can commit to the dates below. It is very important that you attend each session. Because space is limited to 10 participants, you may be put on a waiting list. The waiting list is in the event someone can not start the program, you will be next in line. Thank you for you understanding, we look forward to meeting you.

Dates for Connecting Through Horses:

Session 1: June 4th 2022 - 12pm - 3pm (First Session 3 hours)
Session 2: June 18th 2022 - 12pm - 2pm
Session 3: July 9th 2022 - 12pm - 2pm
Session 4: July 30th 2022 -12pm - 2pm
Session 5: August 13th 2022 - 12pm - 2pm
Session 6: August 20th 2022 - 12pm - 2pm
Session 7: September 10th 2022 - 12pm - 2pm
Session 8: September 24th 2022 - 12pm - 2pm
Session 9: October 8th 2022 - 12pm - 2pm
Session 10: October 29th 2022 - 12pm - 3pm ( Last Session 3 hours)

If you are needing transportation, know that you will need to be at pick up location no later than 10:45 am.

Participants Name

First Name

Last Name

Date of Birth

Participant must be at least 18 years old.

YYYY

Diagnosis

You must be able to provide proof of diagnosis.

Address

You must be able to provide proof you live in Denver County.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Do you need transportation?

We are providing transportation from Denver, to the facility in Parker. This will be provided free of charge round trip.

What goals would you like to meet coming out to the horses?

What goals would you like to meet while working with others in a group?

Please tell us a few things about yourself. Please share if you have any sensory sensitivities, and/or allergies. What are some of your likes and interest?

Do you have any special dietary needs?

Where did you hear about Connecting Through Horses?

I acknowledge that this program does not and shall not tolerate any discrimination on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, in any of its activities or operations.

Yes, I understand.

No, I do not agree with that statement.

If you need assistance filling out this form please call 720-201-7999.