Horses4Heroes Facility Application

Facility Application

Affordable Programs, Life-Changing Experiences
In order to be a Horses4Heroes Affiliate, you must be licensed (business license), insured, and your facility must be in compliance with all rules and regulations. Please email horses4heroes@gmail.com the following information: Your Horse Vet (name, phone), Your Farrier (name, phone), and one third-party contact (name, phone). Also please send any flyers or information you have about your facility and/or programs. Please check all that apply:

Business LicenseGeneral Liability Insurance PolicyCertification (please check all that apply)CHAEAGALAPATHOK CorralOther
Your Name

First NameLast name
Facility Name

Website
Facility Address (if different than mailing address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please check the services you will provide to Horses4Heroes members:

Riding Lessons (kids)Riding Lessons (adults)Day Camps (no school, holiday, summer)Birthday PartiesHealth & Wellness services (PATH, EAGALA, OK Corral)
Please check if you provide health & wellness programs or services for any of the following:

Veterans/First RespondersVictims of Domestic Abuse and Violence, trauma and traffickingRecovering addictsAt-risk youth and teensSpecial Needs (Autism, ODD, ADHD, OCD, etc.)
Should be Empty: