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  • JoyRide Center Horsemanship Program New Client Registration Form

  • Welcome to our electronic JoyRide Horsemanship New Client Registration Form. Before filling out this form, you should have done the following:

    1. Speak with an instructor/therapist at JoyRide to insure JoyRide Center is a good fit for you.  Call the office at 281-356-5900. 

    2.  Read our Client Information Packet on our website, www.JoyRideCenter.org, "Programs>Client Information" page, for an overview of our programs and information about rates and policies.  You will be asked in this registration form to confirm that you have read the Client Information Packet.

    If you have done both of the above, and the instructor/therapist has told you to go ahead and fill out the registration form, proceed with this electronic form.

    There are 14 pages and it should take approximately 15-30 minutes to complete. If you need to stop and finish the form later, click SAVE FOR LATER.  When you get to the last page, don't forget to press SUBMIT.  

    In addition to this form, the following will also need to be submitted.  You can find these forms on the JRC website, www.JoyRideCenter.org , Programs>Client Information page.

    1. Medical History/Physician's Statement - to be filled out and signed by your doctor - REQUIRED FOR ALL and MUST BE RECEIVED AT JRC BEFORE AN EVALUATION CAN BE SCHEDULED!
    2. Prescription for Therapy - to be signed by doctor - REQUIRED FOR ALL
    3. (Optional) Top Hands Horse Show Medical form - to be filled out and signed by doctor -REQUIRED ONLY FOR CLIENTS COMPETING IN THE TOP HANDS SHOW
    4. (Optional) Special Olympics Medical form - to be filled out and signed by doctor - REQUIRED ONLY FOR CLIENTS COMPETING IN SPECIAL OLYMPICS
    5. (Optional) Tuition Assistance Application - if applicable, to request a discount on JRC tuition. Ignore the deadline on the form.  We can accept new Tuition Assistance applications any time.

    At the end of this form you will find a place to upload the above completed forms, so you may want to wait and get them all filled out/signed before you submit this electronic form.  But, you may send them in separately if you prefer.

    Upon receipt of the forms, we will contact you to schedule an evaluation by one of our therapists.  EVALUATIONS WILL NOT BE SCHEDULED UNTIL WE HAVE RECEIVED THE REGISTRATION FORM AND THE MEDICAL HISTORY/PHYSICIAN'S STATEMENT.

  • REGISTRATION

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  • Parent/Guardian Information

  • Father/Guardian:

  • In the event of an emergency and parent/guardian cannot be reached, contact:

  • RELEASES

  • Liability Release:

  • I/my son/my daughter/my ward would like to participate in the JoyRide Center, Inc. program. I acknowledge the risks and potential risks of horseback riding and working around or near farm animals. However, I feel that the possible benefits to myself/my son/my daughter/my ward are greater than the risk assumed. I hereby, intending to be legally bound, for myself, my heirs, and assigns, executors or administrators, waive and release forever all claims for damages against JoyRide Center, Inc., its Board of Directors, Instructors, Therapists, Aides, Horse Owners, Volunteers and/or Employees for any and all injuries and/or losses I/my son/my daughter/my ward/other family members may sustain while participating in JoyRide programs. WARNING - Under Texas law (Chapter 87, Civil Practice and Remedies Code), a farm animal professional is not liable for an injury to or the death of a participant in farm animal activities resulting from the inherent risks of farm animal activities.

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  • Photo Release:

  • to the use and reproduction by JoyRide Center of any and all photographs and any other audio/visual materials taken of me/my son/my daughter/my ward/other family members for promotional printed material, educational activities, exhibitions or for any other use for the benefit of the program. JoyRide policy is that only first names will be used to identify people unless specific permission is given from the parent/client/guardian.

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  • BILLING INFORMATION

  • Invoices are emailed to the person designated below the first week of the month for charges in previous month.  Please check if you prefer them to be mailed via USPS.

  • Please mail bills via USPS to:

  • CLIENT GOALS/SKILLS/HEALTH HISTORY

  • SEIZURE INFORMATION

    Acquiring the following information is required by PATH, Intl.
  • If YES, please fill out the following:

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  • Clear
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  • JOYRIDE CLASS AVAILABILITY

  • Fall 2021 or Spring 2022 Semester

  • Please check all class times that would fit your schedule (a minimum of 3). Morning classes are 45 minutes long. Afternoon classes can be 45, 60 or 75 minutes long, depending on client

    (NOTE: If you have been told that you will be in a class with a therapist as the instructor, you will be informed of available times

  • JoyRide Competition/Horse Show Opportunities for 2021-2022

  • We hope to have several exciting opportunities for showing this coming competition year. Please sign up for the competitions you would like to participate in on the form below, or choose no competitions. We will make every effort to accommodate everyone who is interested in showing, but our capacity is driven by our horse and volunteer availability.

    JoyRiders must be 8 yrs. or older and holding reins to participate in shows. See specific requirements for some shows. Most shows will be limited to 15 or less riders.


    The following is a list of the shows, and dates for the shows in which JoyRide will hopefully be participating.

    Ft. Bend Show - TBD. Show Fee: $80

    Top Hands Horse Show – This show will be in late February, 2022 at Reliant Arena. Specific dates and times to be determined later in the year. Riders must have a Top Hands medical form signed by a physician. Download it at www.JoyRideCenter.org, Clients and Programs tab. Show Fee: $185

    Area/Regional Special Olympics- April, 2022, held at the Lone Star Cowboy Church in Montgomery, TX. Specific dates and times to be determined early next year. Riders must have a current Special Olympics Medical, signed by a physician. Download it at www.JoyRideCenter.org, Clients and Programs tab. Show Fee $75.00

    State Special Olympics- May, 2022. Brazos County Expo Center, Bryan, TX (riders must have competed at Area Special Olympics and be 12 yrs. or older to participate). Show Fee: $185. www.sotx.org

    Show fees are not covered by Service Providers or Inspiring Hands.

    If you have questions please contact JRC.

    Please keep this information for your records. Go Team JoyRide!

  • COMPETITION SIGN-UP FORM

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  • GETTING TO KNOW YOU

    This page will be put in a notebook that the volunteers can read to learn a little about the clients they will be working with.
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  • You can download a photo below or email one to contactus@JoyRideCenter.org (optional).

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  • Please call me (name I go by) .
    I am years old.
    I began participating at JoyRide on   Pick a Date   .
    My family members are      
    My pets are      
    My interests and hobbies are      
    My JoyRide goals are      

  • IT TAKES A VILLAGE (or a Barnful!)

    You may have heard the saying "It takes a village to raise a child." In JoyRide's case, it takes a barnful of people of different skills, talents and contacts to insure that we can continue to provide the quality services our clients deserve. This optional page is to let us know about your special skills, talents, affiliations and desire to become more involved in JoyRide. Thank you for taking the time to fill this out.

  • Affiliations

    We apply for grants and are willing to speak to companies, foundations, churches and organizations. It helps to know if we have JoyRide family members who are affiliated with those groups.
  • Corporate/business affiliations:      
    Religious affiliation and location:      
    Civic and professional organization affiliations:      
    Other:      

  • Acknowledgement of Receipt of Notice of Privacy Practices

  • Clear
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  • Thank you for filling out our registration form.  Don't forget to also go to our website, www.JoyRideCenter.org, "Programs>Client Information" page, to download the following. 

    1. Medical History/Physician's Statement - to be filled out and signed by your doctor - REQUIRED FOR ALL. MUST BE RECEIVED AT JRC BEFORE AN EVALUATION CAN BE SCHEDULED!
    2. Prescription for Therapy - to be signed by doctor - REQUIRED FOR ALL
    3. (Optional) Top Hands Medical form - to be filled out and signed by doctor -REQUIRED FOR CLIENTS COMPETING IN THE TOP HANDS SHOW
    4. (Optional) Special Olympics Medical form - to be filled out and signed by doctor - REQUIRED FOR CLIENTS COMPETING IN SPECIAL OLYMPICS
    5. (Optional) Tuition Assistance Application - to request a discount on JRC tuition.  

     

  • Browse Files
    Cancel of
  • Press PRINT FORM before submitting if you would like to save a copy of this form.  

    Press SUBMIT when you are ready to send it to JoyRide.

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