Heartland Therapeutic Riding, Inc. is
a 501c3 organization. Donations are
tax-exempt. Please consider helping
Heartland through your Donor Choice
option with the United Way and
Combined Federal Campaign.
19655 Antioch P.O. Box 391
Stilwell, KS 66085
913.897.3939
913.685.7433 Fax
htr@swbell.net
Required Rider Enrollment Forms
Each rider must be evaluated before acceptance into Heartland’s therapy programs.
Once accepted, the following completed forms will be required and will need to be
updated annually.
•
Assumption of Risk of Domestic Animal Activity (Required by State of Kansas)
•
Participant Application
•
Medical Evaluation and Signed Statement
Above forms are in PDF format and require Adobe Reader.