Client Forms | StableStrides

Miracles in Motion Ticket Sales

Individual tickets are $65 each. Tickets include dinner, dessert, live music from Grass It Up, dancing, a “can’t miss” live and silent auctions…and a whole lot of fun! So don’t delay, purchase your tickets NOW!

For more details or to purchase tickets, please contact our event team at events@stablestrides.org or 719-495-3908.

Fields marked with an * are required

Your First Name *

Your Last Name *

Address *

City *

State *

Zip *

Phone *

Email *

How many tickets would you like to purchase? *

Individual Ticket - $75
Couples Tickets - $135 (2 total)
Table - $575 (8 total)

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Total: $0.00

Please List the Names of Everyone You are Purchasing Tickets for (this speeds check-in up the night of the event): *

Need an ADA accessible table? Check this box!

Select Food Allergy Option Below *

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Client Information Form

Fields marked with an * are required

Basic Client Information

Today's Date

Organization Client is Participating Through

Details of the person completing the form

First and Last Name of Person Completing This Form *

Email Address of Person Completing Form *

Relationship to Client/Participant *

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Client Details

Clients First Name *

Clients Last Name *

Clients Primary Home Address *

City *

US States *

Zip *

If the client does not have their own phone or email address, please leave blank. Parent guardian information will be collected separately.

Primary Phone

Cell Phone

Home Phone

Work Phone

Where can we leave message's regarding your services at StableStrides?

Cell Phone

Home Phone

Work Phone

Clients Email

What is your preferred method of communication? *

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Service/Program of Participation *

Service Location *

Birthdate *

10 of 10 Character(s) left

Height (ex. 5'8" - used for horse selection) *

6 of 6 Character(s) left

Gender *

Weight (in lbs - used for horse selection) *

10 of 10 Character(s) left

Caregivers Contact Information Form

Fields marked with an * are required

Intro

Please provide all contact information for the caregiver of the client listed below. If the caregiver is the same as the parent/guardian, please do not complete the information again.

Clients First and Last Name *

Your Relationship to the Client *

First Name *

Last Name *

Mailing Address *

City *

US States *

Zip *

Cell Phone

Primary Phone Type *

Home Phone

Work Phone

Email *

Preferred Method of Communication *

Email Address Type *

Secondary Parent/Guardian Contact Information Form

Fields marked with an * are required

Intro

Please provide all contact information for the secondary parent/guardian of the client listed below.

Clients First and Last Name *

Your Relationship to the Client *

First Name *

Last Name *

Mailing Address *

City *

US States *

Zip *

Cell Phone

Primary Phone Type *

Home Phone

Work Phone

Email *

Preferred Method of Communication *

Email Address Type *

Primary Parent/Guardian Contact Information Form

Fields marked with an * are required

Intro

Please provide all contact information for the primary parent/guardian of the client listed below.

Clients First and Last Name *

Your Relationship to the Client *

First Name *

Last Name *

Mailing Address *

City *

US States *

Zip *

Cell Phone

Primary Phone Type *

Home Phone

Work Phone

Email *

Preferred Method of Communication *

Email Address Type *

Auction Item Donation Form

Thank you so much for your generous donation!
StableStrides is a 501(c)3 non-profit corporation (Tax ID 74-2232440). We will send you a separate donation receipt prior to or immediately following this years event.

We would appreciate receiving your donated auction item(s) by August 1, 2019.

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