Register Today for Horses for a Change Program

– Step 1 of 3

Your Details

Please fill out the below fields to get started

Are you a new or returning client?

I’m new
I’m returning

Your Name *

First

Last

Email *

Phone Number *

Enter the digits of your number only.

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Rider Information

Select one: *

I am registering for myself
I am the parent/guardian of a rider I wish to register

What is the name of the rider you wish to register?

First

Last

Rider's Date of Birth *

Is the rider a candidate for Equine Therapy/Therapeutic Riding? *

Yes
No
I’m not sure

Do we have your releases on file?

Since you selected that you are a returning rider, we should have all your releases on file. If you aren’t sure if you have signed a release within the last 12 months, please go back and select “I’m new” or let us know when you are at the barn so we can have you sign a paper release.

Riding Policies

Health Form: In addition to this application I will be required to complete the Health Form before beginning services. I also agree to update this form annually and any time there is a health status change.

Helmets: When near or on horses, participants must wear a STM-SEI-approved riding helmet. Horses for a Change does provide helmets to those that need them. Please note that bike and ski helmets are not acceptable.

Clothing: Long pants and closed-toe shoes (with heels if possible) are required.

Lost Items: Neither Horses for a Change nor Frog Hollow Farm are responsible for lost belongings. Found items will be held for two weeks after a riding week has ended. If the rider’s name is on the item, we will call to notify.

Cancelation: We require 24 notice for all lessons. Failure to do so will result in a $25 charge for each no-shoe/no-call

Bad Weather: Lessons and programs will only be canceled in the event of dangerous or threatening weather. To determine cancelations you can call the barn directly at 845-384-6424.

Siblings: If siblings are in attendance with parents and/or caregivers to the rider, parents/caregivers are responsible for the direct supervision of these children at all times. Noises and lots of activity can distract horses and other students.

Weight Limit: Rider weight limit is 200 lbs.

Right to Refuse Service: Horses for a Change has the right at any time to refuse any rider we cannot safely accommodate.

Legal Liability Release

Please read our legal liability release agreement below and sign to continue to payment. A copy of this release will be emailed to you or you can press print now.

I represent that I am an adult signing on my own behalf or on behalf of my minor child, and that I wish to take riding and horsemanship instruction from Horses for a Change, Inc., at Frog Hollow Farm.

I understand that riding horses and working in the stable area has inherent dangers, and that I may be seriously injured, or even killed in a horse related accident. By way of illustration, a horse related accident includes being stepped on, kicked or otherwise struck by a hoof, bitten, or a fall from the horse.

Horses for a Change has represented to me that reasonable care will be used in the selection of horses for me to ride, and in supervising my riding lesson. I understand that Horses for a Change and its employees or agents cannot prevent accidents, and I do not expect them to do so. I have been specifically advised that I can expect a fall from a horse in the natural course of learning to ride. If at any time during a lesson I become fearful to the point that I wish to dismount, I will so advise my instructor.

I hereby specifically release, indemnify and hold Horses for a Change, Inc. and/or its employees, officers or agents harmless from liability for any claims that may arise out of my activities on the premises. I also specifically release, indemnify and hold Frog Hollow Farm and/or its employees, officers or agents harmless from liability for any claims that may arise out of my activities on the premises. In signing this contract, I am binding myself, my survivors, or any other person or entity seeking to assert a claim on my behalf or which arises from an accident occurring at Horses for a Change at Frog Hollow Farm, even if such accident results in permanent disability, injury or death.

Covid-19 Acknowledgement of Risk & Acceptance of Services

I am aware of the risks of contracting Covid-19 while receiving services at Horses for a Change. I am aware that face to face services may increase my risk of contracting and passing on the Coronavirus and agree to hold harmless Horses for a Change, it’s staff, volunteers and all others I may come in contact with during the time of services. I agree to follow all guidelines and policies required by Horses for a Change including:

Performing a self-health check prior to coming and cancelling services should if I am exhibiting symptoms of Covid-19 or have been in contact with some who has tested positive or presented symptoms such as fever, cough, congestion.

Following Horses for a Change policies for personal protection, social distancing and disinfecting including wearing face covering upon arrival and throughout activities.

Understanding my family members or caregivers will be required to remain in their vehicle or wait for me in a designated area only as indicated by staff.

Horses for a Change will engage in regular cleaning and sanitizing of riding equipment, grooming supplies, helmets and frequently touched areas in between lessons as recommended by the CDC.

I agree to follow these policies and hold harmless Frog Hollow Farm, Horses for a Change, and all individuals associated with my services at Horses for a Change.

Photo Release

I agree that Horses for a Change and Frog Hollow Farm my use photographs and video of me and my child if they are a program participant for the publicity and/or promotional purposes.

Have you read and accept the terms above? *

I have read and accept the Riding Policies
I have read and accept the Liability Release terms
I have read and accept the Covid-19 Acknowledgement of Risk & Acceptance of Services
I have read and accept the Photo Release

Do you agree that your digital signature is legally binding for our term? *

I agree to be legally bound by to the above terms by my digital signature.

Signers Legal Name *

First

Last

Please Sign – This is legally binding for the Liability Release

Clear Signature

Click and drag with your mouse to sign. Or if your using a touch screen use your finger.

Select the programs you want to enroll in:

Single Lessons

30min Lesson $75
60min Lesson $120

10 Pack 30min $675
5 Pack 30min $337.50
10 Pack 60min $1080
5 Pack 60min $540

Please note: We accept cash or check only for lesson packs.

School Year Programs

Friday Saddle Club After-School Program $350

Saddle Club Jr Summer Riding Weeks 2025

Saddle Club Jr June 23–27 – Half Day $285

Youth Riding Intensives 2025

June 30-July 4 – Full Day $750 – FULL – Please call office to be added to waitlist
July 7-11 – Full Day $750
July 14-18 – Full Day $750
July 21-25 – Full Day $750
July 28-August 1 – Full Day $750

Dressage Competition Prep Program 2025

Aug 4-8 $1,150

Adult Camp 2024

Aug 31-Sept 3 $600

(2025 dates will be announced soon.)

Something Else?

If you have received a scholarship or made special service arrangements with the H4C staff, please enter the amount you owe above.

Sponsor a rider

Give the joy and wellbeing that riding horses brings to another rider in need. Your contribution above will help us provide scholarships other riders.

Sponsor a horse

Over the course of a year, the cost of feed, bedding, horseshoes, routine vet services, quality care, and training for our equine partners adds up to over $10,000 per horse! Your support can help Horses for a Change provide the necessary care and training for our horses, that will enable them to be the best possible mounts for the therapy of our riders

Total

$0.00

Payment Options *

Pay by credit/debit card
Pay with check, cash, or the Hudson Valley Current

Enter Your Credit Card Information (this is a secure form) *

Card

Name on Card

If you are paying by check, cash, or Hudson Valley Currents, please click “Complete my registration” button below. Instructions for how to pay will be available on the next page.

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