Program Assistance (Application)

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

We are excited to introduce the Program Assistance Program. This new program will take the place of the Scholarship Program and will enable us to award more assistance to more families!

  • There is no longer a one-time $10 registration fee.
  • All programs are subsidized by business sponsors, grants, fundraisers and individual donations allowing everyone, regardless of income, to participate.
    • Program payment levels:
      • Level 1 – 10% of actual program costs
      • Level 2 – 20% of actual program costs
      • Level 3 – 60% of actual program costs
  • Program payment Levels 1 and 2 are awarded annually based on income.
  • In order to qualify for Levels 1 and 2, families must complete the attached application and include the supporting documents before registering for any programs.
  • Once families are notified which level of assistance they qualify for; proceed to the website to register for programs.
  • Should income status change within the year, families are welcome to reapply with new documentation.

If you wish to apply for Program Assistance, please fill out the application and supporting documents.

Families which submit the application and supporting documents by May 1 will receive one $5.00 certificate toward any 2023 program. 

  • Individual sessions will resume on April 3 – weather permitting.
  • Spring programming may begin after April 9.
  • Summer programs will begin June 5.

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.
    Date