Please enable JavaScript in your browser to complete this form.I hereby grant the PATH Certified Instructors at TROT and Silver Creek permission to confidentially discuss my/my child’s disability with members of the volunteer team in order to effectively create lesson plans and set goals for the most positive outcome throughout the time of my/my child’s participation in the program. *FirstLastFirst/Last Name of Rider's Parent/Guardian if under 18Signature of Rider or Parent/Guardian if under 18 *Clear SignatureToday's Date *Submit