FS ENROLLMENT - Fuzzy Faces Refuge

FREEDOM STEPS FORMS

Please click on the forms below and have them printed and filled out before your first session.

All Freedom Steps Programs

FFR Registration & Release

Health History/Physicians Statement

Rider Consent For Emergency Medical Treatment

Policy Disclosure Document

Horses For Heroes Program

FFR Registration & Release

Health History/Physicians Statement

Rider Consent For Emergency Medical Treatment

HFH Policy Disclosure Document

For Veterans, a copy of your DD214 is required.

Email Jennie at freedomsteps@fuzzyfacesrefuge.org for current session pricing.

Click the the Yellow 'Paypal' button to pay for your lessons in advance via credit card or using your personal PayPal account. Please be sure to note the student's name for proper credit. You can also pay via check or cash before you first lesson begins (checks should be made out to Fuzzy Faces Refuge, Memo line : Client name and Freedom Steps).
(Credit Card Payments will add a 3% tax for Processing Fees)

Financial Aid Scholarships

If you are in need of financial assistance please fill out the form below to be considered.
Financial Aid Scholarships are gifted based on need and funding availability.

Today's Date*
Month
Day
Year
Participant/Student Name*
First Last
Participant/Student Date of Birth*
Month
Day
Year
Applicant Name*
First Last
Applicant Phone*
Applicant Relationship to Participant/Student*
- Parent
- Grandparent
- Aunt/Uncle
- Other Relative
- Guardian
- Unrelated Caregiver
Activity for which Financial Assistance is being requested*
- Therapeutic Riding
- Equine Ground Work Only (no riding)
Participant/Student Address*
Street Address Address Line 2 City State ZIP Code
Primary Contact Email*
Enter Email Confirm Email
Father's Name*
First Last
Mother's Name*
First Last
Occupation of Father*
Occupation of Mother*
Employer of Father*
Employer of Mother*
Address of Father's Employer
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address of Mother's Employer
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please select what best describes your household:*
- One income household
- Two income household
Annual Earned Income for your Household*
- Less than $15,000
- $15,000 - $24,999
- $25,000 - $34,999
- $35,000 - $49,999
- $50,000 - $75,000
- Greater than $75,000
Please list any amounts received per year for any aid or support received by your household other than earned income.*
Number of Dependent Adults in Household
- One (myself only)
- Two (including myself)
- Three (including myself)
Number of Dependent Children in Household
- One
- Two
- Three
For all school/college age children in the household, please identify the % of tuition paid by the household and the % of financial aid received by the household for each student.
List any other persons that are dependent upon the household income.
Real Estate/Primary Residence*
- Own or Paying a Mortgage
- Rent
- Government Housing Occupancy
Please populate the amount of rent or mortgage that you pay for your home each month.*
Please enter a number from 0 to 3000.
Please list all Real Estate and/or land that you own or are purchasing, including the fair market value for each property.*
Please list all vehicles that you own including the make, model, year and fair market value.*
Please populate the amount of any vehicle payment(s) that you make each month.*
Please enter a number from 0 to 2000.
Please identify below any other financial obligations you may have that should be considered with this Financial Aid application. In addition, if there are other factors you feel might affect our decision regarding this application, please explain in detail.
Level of Financial Aid Requested*
- 20%
- 40%
- 60%
- 80%