Renew Center Membership

Please fill in all fields. An asterix* indicates a required field.

Center Membership Form

Date
MM
DD
YYYY
Center Name
Center Director/Primary Contact
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Phone
Mobile Phone
Email*
Center Website
Is the Center a PATH Intl. Member?*
- Yes
- No (Per the TRAV bylaws, TRAV Member Centers must be a PATH Intl. Member Center)
Type of Center
- Premier Accredited
- Member (Please include Member # below)
PATH Intl. Center Member #
How many participants does your Center serve in a year?
How many equines are in your program?
Check all disabilities that apply to your center.
- Physical
- Cognitive
- Psychosocial
- Wounded Military/Veterans
- Other (Please indicate in field provided below.)
Other:
Check all programs that apply to your center.
- Therapeutic Riding
- Therapeutic Driving
- Vaulting
- Hippotherapy
- Instructor Mentoring
- Equine Assisted Learning (EAL)
- Equine Facilitated Psychotherapy (EFL)
- PATH Intl. Equine Services for Heroes
- Other (Please indicate in field provided below.)
Other:
Renewal Type*
- Annual Renewal
- Center Life membership
Note: Dues and membership are based on the calendar year and are due after January 1st and before March 31st. You may renew at the Annual Meeting/Education Day. Only individual members have voting rights. TRAV membership is separate from PATH Intl. membership.
Total
$0.00
<strong>YES, please add me to the TRAV email list!</strong>
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The Therapeutic Riding Association of Virginia, Inc. (TRAV) is a non-profit organization formed to foster equine-assisted activities by offering educational and networking opportunities to operating centers and to raise public awareness of the benefits of these activities to individuals with disabilities.

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