Clone of 2025 CM Assisted Therapeutic Horse Program Scholarship Application

Scholarships are funded by generous donations to the Springbrook Foundation. These limited resources are intended to assist those with financial needs who would otherwise not be able to participate in a therapeutic horsemanship experience.

Up to ten (10) vouchers may be awarded to an individual, to be used for therapeutic horseback riding lessons, horse care, leading, cart riding, & other horse-related activities during 2026. We anticipate the following stables will participate this year:
- Athelas Therapeutic Riding, 1179 County Highway 5, Otego
- Golden Gait Farm, 3613 Pine Swamp Road, Sidney Center
- Stable Movements, 18 Smith Hill Road, Binghamton
Horse program activities must be scheduled by the individual & their family/advocate. Vouchers must be used by December 31, 2026.

Scholarship recipients from prior years may apply, but those who did not use their vouchers, or who were no-shows for scheduled sessions are not likely to receive a scholarship again.

The following guidelines and criteria will determine an applicant’s scholarship eligibility:
- Scholarships are available to children & adults with developmental disabilities who receive services from Springbrook and/or Southern Tier Connect.
- Preference will be given to those who demonstrate financial need &/or circumstances that hinder their participation in a therapeutic horse program without scholarship assistance.
- The application requires clear goals for the individual’s participation.
- Vouchers are to be used during the current year and at the participating stables.
- The application must clearly indicate who will be responsible for scheduling lessons & arranging transportation.
APPLICATIONS MUST BE RECEIVED BY March 6, 2026. Scholarship recipients will be notified in late March.

STAFF: Please involve the individual, family, and/or advocate when applying.

QUESTIONS? Contact the Therapeutic Horse Program Coordinators by sending an email to TherapeuticHorseProgram@springbrookny.org, or calling 607-353-7272 x2800 or 607-353-7272 x2500

Care Manager*

First NameLast Name
Care Manager Email Address*
example@example.com
Care Manager Phone Number*

Area CodePhone Number
Upload consent to indicate you have permission to communicate with Springbrook on behalf of the applicant.*

Browse Files

Cancelof

Applicant (Rider) Information
Applicant's Name*

First NameLast Name
Applicant's Age*
Applicant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Email Address
example@example.com
Applicant's Phone Number

Area CodePhone Number
Primary Diagnosis*
Secondary Diagnosis
Applicant receives services from Springbrook*

YesNo
Applicant receives services from Southern Tier Connect*

YesNo
Parent/Guardian/Advocate

First NameLast Name
Parent/Guardian/Advocate Email Address
example@example.com
Parent/Guardian/Advocate Phone Number

Area CodePhone Number
Parent/Guardian/Advocate Address where vouchers will be mailed if different than the applicant's address.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Person responsible for scheduling lessons/notifying stable of changes or cancellations? (E.g. Parent, residential supervisor, etc.)*

First NameLast Name
Email of person responsible for scheduling lessons/notifying stable of changes or cancellations.
example@example.com
Phone Number*

Area CodePhone Number
Role of person transporting rider to lessons. (E.g. parent, residential supervisor, etc.)

By checking the boxes below and typing the name(s), you are electronically signing the application.
Read and check both boxes*

I have explained to the individual/family/advocate the guidelines and criteria that will determine an applicant's scholarship eligibility and that scholarship funds are limited, and intended to assist those with financial need who would otherwise not be able to participate in a therapeutic horsemanship experience.I explained to the individual/family/advocate that no vouchers will be issued until an Authorization of Release of Information has been received by the Scholarship Committee.
Signature of Care Manager

First NameLast Name
The application is not complete without a signed Authorization of Release of Information. Please forward the link to the consent to the family to complete or send them a paper version by printing the ROI that will appear in the notification that this application was received. Please click SUBMIT to complete to the application process.

APPLICATIONS MUST BE RECEIVED BY March 6, 2026. Scholarship recipients will be notified in late March.
Should be Empty:

Applicant (Rider) Information

Springbrook Therapeutic Horse Program Scholarship Application