Program Assistance (Application)

Apply for Program Assistance to participate in our equine-assisted programs!

All of our equine-assisted programs are subsidized by businesses, family foundations, horse sponsorships, grants, fundraisers and individual donations allowing everyone, regardless of income, to participate.

  • Program fees vary, as some of our funding is tied to specific programs or have specific restrictions.
  • We understand that not all families can participate without receiving additional financial assistance.
  • Program assistance is based on the number living in the house and gross annual household income.
  • Once we received the application – in its entirety and including supporting documents -you will be contacted by email unless otherwise requested.
  • Please use the space to help us understand your financial situation.
  • Once your family is approved, the reduction in program fee will be applied to all programs (unless specified otherwise) for that specific calendar year.
  • The program assistance application must be resubmitted each year to be considered.
  • In order to accommodate every family as best we can, completed applications must be received at least one week prior to the start of the program. Otherwise, the full program fee will be expected.

Applicant Information

Name (Parent/Guardian)







Mailing Address















All Persons (All adults and children) Living in this Household
Adult or Child
First Name
Last Name
Date of Birth
Claimed on 1040?
 
I am applying for (name/ages of children/youth)

I am currently receiving the following assistance:

Financial Information

To qualify for program assistance for Level 1 or Level 2 program assistance, please attach at least one of the following documents. Black out all Social Security numbers.
- Recently filed Federal Taxes (1040 Federal Tax Form (3) for ALL income in household)
- Two recent pay stubs (Per working adult in household)
- Government Assistance (Showing most recent 30 days of income)

Drop files here or

Max. file size: 50 MB, Max. files: 3.

    Yearly Renewal

    I am requesting program assistance from LyonHeart Equine Assisted Learning due to my personal circumstances and verify that all information provided is correct, complete and accurate. If I submit false or inaccurate information, I may be terminated from receiving program assistance.

    Clear Signature

    Date