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People and Animal Learning Services Logo People and Animal Learning Services Logo People and Animal Learning Services Logo
  • Home
  • About
    • Our History
    • Meet The Team
      • Our Staff
      • Our Board
      • Our Herd
      • Join Our Team
  • Programs
    • Program Types
    • Program Fees
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    • Sensory Trail
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    • Volunteer Roles
    • Apply to Volunteer
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    • One-Time or Recurring Donation
    • Sponsor a Horse
    • Alternative Giving Options
    • Planned Giving
  • Contact
  • Home
  • About
    • Our History
    • Meet The Team
      • Our Staff
      • Our Board
      • Our Herd
      • Join Our Team
  • Programs
    • Program Types
    • Program Fees
    • The Benefits
    • Get Started
    • Sensory Trail
  • Volunteer
    • Volunteer Roles
    • Apply to Volunteer
  • News & Events
    • What PALS Horse Are You?
  • Give
    • One-Time or Recurring Donation
    • Sponsor a Horse
    • Alternative Giving Options
    • Planned Giving
  • Contact
Participant ApplicationLorie Miller2026-01-04T01:38:36-05:00

Participant Application 2026

Step 1 of 4

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This field is for validation purposes and should be left unchanged.
Participant Name(Required)
Date of Birth(Required)
This will be automatically calculated for you.
Address(Required)
Parent / Guardian
(If under 18 or under guardianship)

Emergency Information

Emergency Contact(Required)

Contact for Scheduling or Questions

Contact for Scheduling / Questions(Required)

You and PALS

What would you like to accomplish at PALS?
How did you hear about PALS?

Health History

Please indicate current or past difficulties or needs in the following areas:
Allergies(Required)
Vision(Required)
Hearing/Speech(Required)
Cognition(Required)
Ambulation(Required)
Attention(Required)
Motor Planning(Required)
Strength(Required)
Flexibility(Required)
Digestion(Required)
Breathing(Required)
Self Control(Required)
Circulation(Required)
Sensation/Perception(Required)
Activities of Daily Living (ADL)(Required)
Other(Required)
(include prescription or over-the-counter, name, dose and frequency)

Releases

MEDIA RELEASE
1. Authorized Use. PALS may use photos, video, and/or audio of me (or my child/dependent) for program-related purposes, including but not limited to: educational materials, training, outreach, fundraising, print/digital publications, social media, website content, presentations, and other communications that support PALS’ mission.

2. No Compensation. I will not receive compensation for the use of these materials.

3. Ownership. These materials become the property of PALS.

4. Revocation. I may revoke this consent in writing at any time. Revocation will apply to future use and will not require PALS to remove materials already printed, published, distributed, or shared prior to receipt of my written revocation.

5. Identification. Unless I provide separate written permission, PALS will not intentionally publish medical/diagnostic information or other sensitive personal information alongside my image.
Media Release Do-Not-Consent
CONFIDENTIALITY & PRIVACY STATEMENT(Required)
PALS is committed to respecting participant privacy and protecting confidential information.

1. Limited Access. Participant information—including identifying details and health-related information—is shared only with PALS personnel who need it to support safety, lesson planning, and program delivery (e.g., certified instructors and designated program staff).

2. Staff & Volunteer Expectations. PALS staff and volunteers are required to uphold confidentiality. They may not disclose participant identities or personal information and are not permitted to record participants (photo, video, or audio) on personal devices or share any participant information through social media, texting, email, or other channels outside PALS’ authorized systems.

3. Participant/Family Choice. Participants and families are asked to respect the privacy of others by not photographing, recording, or posting other participants without their permission.

4. Questions or Concerns. If you believe your privacy or confidentiality has been violated by PALS staff or volunteers, please notify Christine Herring, Executive Director, as soon as possible so we can address the concern promptly and appropriately.
LIABILITY RELEASE(Required)
This release by and between People and Animal Learning Services, Inc., an Indiana not-for-profit corporation, (hereinafter referred to as "Management"), the owner and operator of the stables, riding arena and real estate located at 7644 W. Elwren Road, Bloomington, IN 47403 (hereinafter, collectively, the "Riding Facilities") and the Participant, (hereinafter referred to as "Participant ") and, if Participant is a minor or ward, Participant's parent or guardian, (hereinafter referred to as "Guardian") (Participant and Guardian are hereinafter sometimes referred to as "Participant"). For valuable consideration received, and in exchange for the covenants and representations herein made, Management, on behalf of itself, its instructors, employees, Board of Directors, Advisory Board, therapists, aides, volunteers, drivers and/or agents (collectively hereinafter referred to as "PALS") and Participant, Guardian (if applicable), Participants' heirs, assigns, and/ or representatives, hereby agree as follows:

1. The participant agrees to assume any and all risks in or arising from or related to user’s use of the riding facilities or presence upon the riding facilities, use of horses and equipment provided by PALS whether on or off of the riding facilities, and any related appurtenances, facilities or equipment located thereon, including but not limited to those risks which may arise from or in connection with the negligence of PALS. Participant acknowledges that these risks include, but are not limited to death, bodily injury or property damage due to falls, kicks, bites, collisions, behavior of other horses, fire, explosion and limited emergency medical care availability.

2. Participant acknowledges that horses, by their very nature are unpredictable and may act upon instinct, fright or whim. Participant assumes all risks in connection therewith and expressly waives any claims for any injury, damage or loss arising therefrom. Participant agrees to abide by and follow PALS' instructions, rules and regulations. Participant further acknowledges that the behavior of any animal is contingent to some extent upon the ability of the Participant. Participant assumes all risks therefore and warrants a full and fair disclosure of Participant's abilities have been made to Management. Participant affirms that participant has been well advised and thoroughly informed of the risks and inherent dangers of horseback riding and being in the presence or horses in general.

3. Participant agrees to assume any and all risks involved in or arising out of Participant's use of
any equipment or livestock pertaining to the rental and riding of horses or riding lessons, the
use of any equipment, arena or other structure on or about Riding Facilities, the use of any trail
on or about the Riding Facilities or related to any and all riding lessons whether provided at the
Riding Facilities or off of the Riding Facilities.

4. Participant agrees to release, discharge, hold harmless, indemnify and defend PALS from and
against any and all claims, demands, causes of action, damages, judgements, orders, costs or expenses, including reasonable attorneys’ fees, which may in any way arise from or be in any way connected with participant’s use of or presence upon the riding facilities or use of horses and equipment provided by PALS, whether on or off of the riding facilities, whether or not arising from the negligence of PALS or any third party.

UNDER INDIANA LAW, AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN
INJURY TO, OR THE DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES.

THIS IS A RELEASE OF LIABILITY. DO NOT AGREE IF YOU DO NOT UNDERSTAND OR AGREE WITH ITS TERMS.

Optional Information

Completing the following section is OPTIONAL, information given here will be used anonymously for securing grants and compiling demographic information about PALS programming.
I hereby confirm that all of the above information is complete and accurate. (Must be signed by Client, Parent or Legal Guardian)

Mission

PALS promotes joy, quality of life, better health, and empowerment by providing therapeutic programs with horses.

Vision

By providing a caring, safe, and challenging environment, PALS will foster growth and individual achievement of all participants that will enable them to reach their highest potential.

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About Us

Since its founding in 2000, PALS has provided over 21,000 equine-assisted opportunities that have enriched the lives of hundreds of children, adults, and seniors. As one of the few organizations in south-central Indiana recognized as both a Member Center of the Professional Association of Therapeutic Horsemanship International (PATH Intl.) and a Certified Horsemanship Association (CHA) Accredited Site, PALS is proud to offer impactful and accredited programs to our community.

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