Miracles in Motion
Student Forms


Students must complete new forms each year in order to participate in the riding program. New students need to complete the Application Evaluation first, then have an evaluation at the riding center. Returning students may skip the Application Evaluation unless they have been asked to complete it.

Please print the all required forms, fill them out (including the necessary signatures) and mail to: Sue Bock, Program Director, Miracles in Motion, P.O. Box 14, Cedar Rapids IA, 52406-0014. PLEASE DO NOT E-MAIL FORMS for confidentiality reasons.

All required forms must be RECEIVED before the student can get on a horse. If, for any reason, you have less than one week in which to get the forms to the farm, you should hand deliver them.


For your convenience, there are two types of forms: Microsoft Word docs optimized for the PC and PDF files, which are viewable and printable from PC or Macintosh computers. To use the PDF files, you must first download and install Adobe Acrobat Reader, a free program available by clicking on this graphic and following their instructions:



The Word documents are best viewed with Internet Explorer and Microsoft Word. With other browsers, you may need to right click on the form name, chose "save Target as" and save it to your hard drive, then open Microsoft Word, and open the form you just saved. You will then be able to print the form.


REQUIRED FORMS

Microsoft Word Files
PDF Files

Please click here to
read/print rules

Application Evaluation
(New students must complete
this form first)

Click here for Word doc
Click here for PDF file

Medical Form

Click here for Word doc
Click here for PDF file

Registration Release Form

Click here for Word doc
Click here for PDF file

Authorization for Emergency
Medical Treatment

Click here for Word doc
Click here for PDF file

Enrollment Donation Form

Click here for Word doc
Click here for PDF file
Fundraising Participation Form Click here for Word doc Click here for PDF


ADDITIONAL FORMS

Microsoft Word Files
PDF Files

Education Evaluation

Click here for Word doc
Click here for PDF file

Parent Survey

Click here for Word doc
Click here for PDF file

Physical or Occupational
Therapy Evaluation

Click here for Word doc
Click here for PDF file




Call the Riding Center (319-857-4141) or use miracles@netins.net to e-mail the office if you have trouble accessing any of the forms. We will gladly mail you the forms.