**This form is for organizations with Volunteers ONLY.** – If you are an Individual with no volunteers, please CLICK HERE.

Team Qualification Evaluation Fees
$50 per Handler
Plus
$10 per Evaluation
(Evaluation = 1 handler with 1 equine)

    **Primary handler must be evaluated with all equines listed on this application.**

    Primary Handler

    First Name (required)

    Last Name (required)

    Age (Must be 18 or older) (required)

    Your Email (required)

    Please Confirm Email (required)

    Phone (required)

    Address (required)

    City (required)

    State (required)

    Zip Code (required)

    Do you currently perform animal assisted therapy with an equine? (required)

    Name of Organization/Farm (required)

    Volunteer Handlers:

    **Minimum age for handlers is 16 years of age.**
    A drivers license or other photo ID is required. Please upload along with other documents listed below when submitting your application.

    Handler #2:

    First Name

    Last Name

    Age (if under 18)

    Email

    Phone

    Address

    City

    State

    Zip Code

    Handler requests qualification with the following equines:

    Handler #3:

    First Name

    Last Name

    Age (if under 18)

    Email

    Phone

    Address

    City

    State

    Zip Code

    Handler requests qualification with the following equines:

    Handler #4:

    First Name

    Last Name

    Age (if under 18)

    Email

    Phone

    Address

    City

    State

    Zip Code

    Handler requests qualification with the following equines:

    Handler #5:

    First Name

    Last Name

    Age (if under 18)

    Email

    Phone

    Address

    City

    State

    Zip Code

    Handler requests qualification with the following equines:

    Handler #6:

    First Name

    Last Name

    Age (if under 18)

    Email

    Phone

    Address

    City

    State

    Zip Code

    Handler requests qualification with the following equines:

    Handler #7:

    First Name

    Last Name

    Age (if under 18)

    Email

    Phone

    Address

    City

    State

    Zip Code

    Handler requests qualification with the following equines:

    Are there more than 7 Volunteer Handlers? (required)

    **If there are more than 7 Volunteer Handlers to be evaluated, please send the Name, Age, Email, Phone, and Address of each additional volunteer handler to: admin@amtha.org**

    Equine Information

    Are all equines listed below owned by the Primary Handler shown in application? (required)

    If No, please explain:

    Equine #1:

    Type of Equine (required)

    Age of Equine (min. age is 1 year)

    Name of Equine (required)

    Equine #2:

    Type of Equine

    Age of Equine (min. age is 1 year)

    Name of Equine

    Equine #3:

    Type of Equine

    Age of Equine (min. age is 1 year)

    Name of Equine

    Equine #4:

    Type of Equine

    Age of Equine (min. age is 1 year)

    Name of Equine

    Equine #5:

    Type of Equine

    Age of Equine (min. age is 1 year)

    Name of Equine

    Equine #6:

    Type of Equine

    Age of Equine (min. age is 1 year)

    Name of Equine

    Are there more than 6 Equines?

    **If there are more than 6 Equines to be evaluated, please send the Type of Equine, Age of Equine, and Name of Equine for each additional equine to: admin@amtha.org**

    Equine Health Documents (required)

    Please upload the health documents listed below for each equine:

    1. Current Vaccination Records (as required in your area)
    2. Current Negative Coggins Test

    **After submitting this form - you will be redirected to a payment page to submit payment.**