The specified individual has applied to become a participant of Safe Haven Equine Ministries youth program. We serve teens with emotional, social, cognitive, and behavioral issues. We specialize in prevention, early intervention, and as a supplement to those already seeking traditional therapies and treatments. Our programming includes outdoor activities, therapeutic horsemanship, and therapeutic riding alongside a faith based curriculum.
You have been chosen as an additional referral for this participant to verify information and provide a better understanding of their needs. As a referral for our program, you should be familiar with the applicant’s personality and behavior. All information shared on this form is confidential and will not be shared with participant, their family, or any outside bodies. The participant’s application cannot be fully processed until we receive this participant referral form. Please fill out and return this form to 162 Russell Cave Rd Georgetown, KY 40324 or firstname.lastname@example.org.