MEMBERSHIP APPLICATION - ROCK, Ride On Center for Kids

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ROCK, Ride On Center for Kids
PO Box 2422 Georgetown, TX 78627
2050 Rockride Lane, Georgetown, TX 78626
(512) 930-7625 office (512) 863-9231 fax
www.rockride.org
ROCK, Ride On Center for Kids
Schedule Request Form
Place a 1, 2, and 3 in the boxes for your 1st, 2nd, and 3rd choices. There is no guarantee
that you will get your 1st, 2nd, or 3rd choices, however we will try to accommodate if
possible.
Client’s Name_____________________________________________________
Hippotherapy Schedule Request
Time
Monday
Tuesday
Wednesday
Thursday
Friday
8:00-8:45
9:00-9:45
10:00-10:45
11:00-11:45
12:00-12:45
1:00-1:45
2:00-2:45
3:00-3:45
Therapeutic Horsemanship
Time
8:00-8:45
Monday
Tuesday
Wednesday Thursday
Friday
Saturday
9:00-9:45
9:00-9:45
10:00-10:45
10:00-10:45
11:00-11:45
11:00-11:45
12:00-12:45
12:00-12:45
1:00-1:45
1:00-1:45
2:00-2:45
2:00-2:45
3:00-3:45
3:00-3:45
4:00-4:45
5:00-5:45
6:15-7:00
7:30-8:15
Clients will be scheduled in large by their needs, goals, and abilities, as well as schedule of
therapists, instructors, and horses. Evening and weekends will be for our group classes.
Therefore due to the restrictions from the agencies we cannot serve agency clients at those
times.
Page 10 of 11
Client Application v4
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