Participant Application

Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Date of Birth*
Age*

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Tell Us About You
What are your hopes and desires in coming to the Ranch?*
What are some things that you are currently struggling with that you’d like to work on?*
(ie- impatience, hopelessness, loneliness, misunderstandings, hard relationships, etc.)
What is the biggest challenge you face right now?*
Biggest fear?*
Biggest regret?*
Greatest desire?*
Who do you look up to and why?*
What are three words that best describe you?*
Is there any issue or trauma that has impacted your life?*
If so, please share, knowing it will remain confidential between you, the mentor you work with and the Director of the ministry. This information will allow us to best support you and help your experience here to be most beneficial and healing.
What things do you value?*
What are the top three things you like best about yourself and why?*
What are the top three things you like least about yourself and why?*
What characteristics would you like to develop in yourself?*
(ie- self-esteem, trust, better communication skills, leadership skills, better understanding of God, etc.)
How would you like to feel a year from now?*
What kind of person would you like to be this time next year?*
What is one thing you would want everybody to know or understand about you?*
If you could hear God speak 25 words to you, what would they be?*

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Consent to Share Information and Contact
Do we have your permission to share your information?*
Since people's schedules/availability does not always allow us to maintain the consistency we would like, there's a good chance that you will not have the same team member/ facilitator for every session. When this happens, do we have your permission to share your information (ie- this participant registration form, information about your sessions, and your answers to reflection questions at the end of each session) with the team member who will be facilitating your next session, so they can be equipped with the necessary information and you will not need to repeat yourself?
- Yes, I give my permission
- No, Do not share my information
Do we have your permission to reach out to you via text, email or written/ mailed card, to offer periodic encouragement?
You will not be overloaded by messages, and you will not be put on any mailing list. This is only for the leaders who you do sessions with to encourage you.
- Yes, I give my permission
- No, Do not contact me

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Parent & Adult Participant Agreement Form
Dear friends,
Since we want everybody to have a great experience at The Son and Reins Ranch, we ask that you please read and follow the guidelines below:
- If you are ever unable to make your session, please let Sharron know by 2pm the previous day. We need to be respectful of everybody’s time and our ability to serve other youth who may be on our waiting list. Please recognize that you are making a commitment when you sign up for our program. Please convey to your child that it is a privilege for them to be involved, and that they, too, are making a commitment. We have volunteers who come from as far away as Denver and Colorado Springs. Please respect the effort they make to be here for your youth by making every effort to be here. Based on demand, if your child misses more than two sessions, their spot can be filled by somebody else (unless there are exceptional circumstances involved).
- If you have a minor child participating at the Ranch, we ask that you please stay onsite while they are participating in the program. (The only exception to this is if your son or daughter is able to drive themselves.) We do encourage families to participate in two to three equine-assisted-learning activities together.
- Please stay in designated areas (pergola/patio area, inside the cabin). A volunteer application and background check are required for all adults who wish to be out with the horses.
- Please be on time for your session. If you arrive early, you are welcome to come up with your child and relax under the pergola or play with the dogs. We ask that your child not come up by themselves.
- We also ask that participants not go up to the horses without a volunteer being with them. The volunteers will be having a prayer time and getting ready for the session, and will meet you and your child near the pergola when the session begins.
- If we need to cancel a session for any reason (like bad weather), we will notify you via text. Please be sure to ALWAYS check your text BEFORE coming out to the Ranch. Please note that sometimes the weather may be gorgeous but we still need to cancel the session because the ground is not safe (too much snow/ice or mud). Slippery ground, horses and people are not a good combination.
- Please promptly return any paperwork that is requested of you.
- Please respect people’s confidentiality. We would ask that you not discuss with other people anything to do with any child other than your own.
- It is our hope and desire that everybody who comes to the Ranch feels welcome, accepted, safe and comfortable. For this reason, we ask that you please refrain from swearing, telling inappropriate jokes, sharing strong political views, etc. If you ever feel like we have not created this kind of environment please let us know by providing that feedback to Sharron or a volunteer.
- We ask that if your child gets in trouble at home—or gets grounded—that you still make your session. Please don’t miss a session as a way of punishing your child, because volunteers are committing to be here and we want you to commit to being here for your session as well. Of course we understand that emergencies and sicknesses happen, but if it is a case of your child being grounded or in trouble, please just let us know and we will back you up. We can have your child do extra barn chores when they are here, and they won’t be able to ride the horse, etc. Just please keep your session time.
Agreement*
By checking this box I am stating that I have read and agree with the guidelines listed above.

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FACILITY RULES
The Son and Reins Ranch is committed to providing a safe facility and environment for all participants, volunteers, staff and visitors. These “Facility Rules” are meant for your safety, the safety of others, and the safety of all animals. It’s hard to have fun, learn and grow when we’re hurt, so we thank you for abiding by these guidelines.

This is a family-friendly environment. No inappropriate language, drugs, alcohol or unacceptable behavior will be tolerated. We retain the right and discretion to immediately dismiss anyone from this facility.

When participants arrive, they are asked to please wait for an adult volunteer before petting the horses through the fence, giving them treats and before going into the pasture.

You’re welcome to bring horse treats (including applies, carrots and peppermints), but please leave them in the barn until the end of the session. Participants are to feed treats from a bucket only, not from their hand.

Anybody entering the horse pasture must have on closed-toed shoes.

Shorts and tank tops are fine to wear so long as all undergarments are covered.

Please come prepared with water bottles, bug spray, sunscreen and a hat—the hat is important because we ask that you do not wear sunglasses when working with the horses.

Whoever brings the young person to the Ranch must stay on the premises while the session is taking place. An exception can be made for youth leaders.

Waiting parents and siblings MUST remain outside the pasture fence, unless the parent has completed an application and background check. Siblings must be supervised at all times.

No volunteer and participant should ever be alone and out of sight of others.

BASIC SAFETY INSTRUCTIONS … in no particular order…

Never go under the horse’s neck to get to its other side. Always hold the lead rope so that it does not wrap around your hand (or any body part) and make sure it does not drag on the ground.

Everybody must wear a helmet when riding, and wear jeans and shoes/boots with at least a ¼ inch heel when riding with a saddle.

When you have a horse at the hitching post, just loosely drape the lead rope over the post, do not tie them.

When getting on a horse, always make sure an adult or youth leader is holding the horse and you are using the mounting block.

When dismounting, swing one foot over the horse, lay down with your bellybutton in the middle of the saddle or if bareback, bellybutton on top line/ spine of horse, take your other foot out of the stirrup and slide down with both feet landing on the ground at the same time.

ALWAYS pay attention to the horse’s body language and respect what the horse is telling you! (ie- if a horse pins its ears flat back, that is a warning sign to back off. Volunteers will teach the participants how to correct the horse.)

For adult volunteers, please bring any concerns, problems, questions or suggestions directly to Sharron.
For all parents and participants, if you have any concerns, problems, questions or suggestions, feel free to bring them directly to Sharron, OR to an adult volunteer.
Now let’s all be safe and have FUN!!
Agree to follow facility rules*
I have read and understand the facility rules list above.

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NEW PARTICIPANTS APPLICATION

Please fill out the form below.

Step 1 of 5

Personal Information

Tell Us About You

Consent to Share Information and Contact

Parent & Adult Participant Agreement Form

FACILITY RULES