Retreat Application


In an effort to prevent stolen valor, we need to verify your military service. Please provide us with a copy of your DD214 or Military ID.

Additional Attendees

Warrior Ranch Foundation welcomes assistants you may need.

If you answer yes, please provide the name of the Caregiver below

If answering yes to previous question

If answering yes to previous question

If answering yes to previous question

Please provide the name and phone number for an emergency contact.

Medical Information

Information gathered is to better tailor our program to fit your needs. If “yes” to any of the below, please describe in text box.



























Please list and explain any medical, physical, emotional, psychological, or behavioral conditions, diagnoses, medications, limitations, triggers, or accommodations that may affect your participation in activities involving horses. If none, write N/A.

If none, write N/A If caregiver is also attending, include their dietary constraints, if any, as well.

Voluntary Demographic Information:

The following questions are asked to help us meet reporting requirements for grants and funding opportunities. Your responses are completely voluntary and confidential. While you are not required to answer these questions, your participation helps us demonstrate the reach and impact of our programs and may assist us in securing future funding to continue and expand our services.









Optional - non-identifiable demographic statistics are often requested on grant applications for retreat funding.







Optional - non-identifiable demographic statistics are often requested on grant applications for retreat funding.




Optional - non-identifiable demographic statistics are often requested on grant applications for retreat funding.






Optional - non-identifiable demographic statistics are often requested on grant applications for retreat funding.







Optional - non-identifiable demographic statistics are often requested on grant applications for retreat funding.



We recognize that people make mistakes in life, some of which may result in a criminal charge. There are some criminal charges that would disqualify you from participating in Warrior Ranch Foundation programs (such as animal abuse, sexual assault). By checking this box, you are authorizing Warrior Ranch Foundation to run a confidetial criminal history search.

I certify that my answers are true and complete to the best of my knowledge. I authorize a background check through National Center for Safety Initiatives