Pre-Survey for Parents
(of children or teen participants)

Thank you for registering!

Please take a few minutes to complete the following survey. The information you provide about your child will be kept strictly confidential and is only used by Project Horse staff to ensure we are best able to meet participant needs.

    Child's Name *
    Child's Name
    Child's Date of Birth *
    Child's Date of Birth
    Name of Parent (or Guardian) *
    Name of Parent (or Guardian)
    Parent's/Guardian's Cell *
    Parent's/Guardian's Cell
    Please Check All that Apply to Your Child *