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  • JRC PREP NEW CLIENT APPLICATION

  • Applicant Information

  • Parent/Guardian Information

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

  • Schools/Programs Attended


  • PLEASE ANSWER THE FOLLOWING QUESTIONS:

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  • MEDICAL HISTORY

  • NOTE: JoyRide Center does not administer medications. Applicant must be able to self-administer medications that need to be taken during the day.

  • Allergies/Restrictions

  • History of Illness/Hospitalization/Surgery

  • Seizure Activity

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  • Health History

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  • LIABILITY RELEASE:  I/my child/my ward would like to participate in the JoyRide Center, Inc. program. I acknowledge the risks and potential risks of 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 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.death of a participant in farm animal activities resulting from the inherent risks of farm animal activities.

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  • 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 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/caregiver.

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  • Virtual Lesson/Distance Learning Recording

    If I/my child chooses to participate in Distance Learning video lessons, I understand that these lessons conducted through Google Meet, Zoom or other similar type applications will be recorded and distributed to other JRC Prep clients via email.  If you do not wish your image to be included on the video lesson, it is your responsibility to disable the camera during video lessons.

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  • The above releases apply to all family members & caregivers of this client. Contact your instructor if you have any questions about this policy.

  • BILLING INFORMATION

  • JoyRide invoices are normally emailed around the first of each month for services rendered in the previous month. Payment is due upon receipt and considered late if received after the 15th of the month.

  • I understand that I will be charged my regular daily tuition fee if I cancel or do not show up for a session.  There will be no charge for classes cancelled by JoyRide.

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  • Acknowledgement of Notice of Privacy Practices

  • Please read the following Notice of Privacy Practices:

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  • 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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