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Quantum Leap Farm, Inc Faculty Continuing Education QUANTUM Karen Gardner, OTR, MOT, HPCS A Certificate of attendance will be provided. Contact hours total 27. Courses are not “pre- LEAP FARM, Inc. Karen has a Master’s degree in approved” unless indicated otherwise Occupational Therapy and is the owner of Presents: Silver Lining Therapy, LLC in Texas. She Hotel Information is an AHA Faculty member, Hippotherapy American Hippotherapy Clinical Specialist (HPCS), PATH-Intl Holiday Inn Express Trinity Master Instructor and Driving Instructor. 2125 Corporate Center Drive, Association, Inc. She is an adjunct professor for the OTA Trinity FL 34655 Program at Lone Star College. Karen is (11 minutes/ 5.5 miles) Approved- Level I certified in Natural Lifemanship Trauma Ph: 727-835-7820 Focused Equine Assisted Psychotherapy th (TF-EAP) Therapy specialties include *Reserve by Jan 6 for discount price of Treatment Principles $119 per night sensory integration, aquatics, DIR Floortime th th and NDT. She presents at local, state and Price includes complimentary Hot Breakfast FEB. 8 – 11 , 2018 national conferences on a variety of topics Buffet and Transportation to and from the hotel. The Holiday Inn Express staff has offered within OT, hippotherapy, adaptive riding (8:30-5:30 Thurs- Sat & 8:30-3:00 Sun) Airport Transportation for additional $20 per and horse training. She utilizes a variety of person. natural horsemanship techniques in her horse training and therapy sessions. Karen is Travel Information a past President and former Board Member of the American Hippotherapy Association, Quantum Leap Farm is located approximately Inc. 28 minutes (20.7 miles) from Tampa International Airport, and 38 minutes (26 miles) from St. Petersburg-Clearwater International. Transportation to and from the facility/hotel will need to be arranged by the participants. *Quantum Leap Farm Coordinator and Staff are Hosted by: available for transportation upon request. Hosted by: QUANTUM LEAP FARM, INC. 10401 Woodstock Rd, Odessa FL 33556 Office Phone: 813-920-9250, ext. 208 Coordinator: ALEXIS LOPEZ, MOT, OTR/L 10401 Woodstock Rd., Odessa, FL 3356 QLF Director of Operations & Hippotherapy www.quantumleapfarm.org Office: 813-920-9250, ext. 208 www.quantumleapfarm.org Cell: 954-592-9192 The curriculum may be utilized only under Phone: 813-920-9250, ext. 208 Email: [email protected] conditions set forth by AHA, Inc. Fax: 813-920-2124 Level 1 Treatment Principles Registration Information REGISTRATION INFORMATION This 4 day course is an overview of the principles All attendees will receive a hard copy of the Name: __________________________________________ of hippotherapy, designed for therapists (PT, OT, AHA, Inc. Level I Treatment Principles Manual. Address: ________________________________________ SLP, PTA, COTA, SLPA) interested in utilizing The course fee also includes breakfast and lunch. hippotherapy in their practice. The first day During the course you will be on and/or working City/ State/ Zip: __________________________________ emphasizes the horse, and the importance of the directly with horses. Please have appropriate quality of the horse’s movement working in clothing/footwear. Helmets will be provided. If Phone: _________________________________________ treatment. Using experiential non-mounted your weight exceeds 300 lbs. you may be excused Email: __________________________________________ activities, the attendee will learn to interpret the from the mounted portion of the course. Indicate body language of the horse, groom, tack and lead any special restrictions on the registration form. *AHA, Inc. Member # ______________________________ (New memberships are accepted: Join today at the therapy horse, recognize desirable Cancellation Policy: AHA, Inc. and the host www.americanhippotherapyassociation.org) conformation, soundness, movement quality, Credentials as listed on course certificate: facility reserve the right to adjust course dates, gaits, and understand training, conditioning and times and faculty to accommodate unforeseen humane treatment of the therapy horse. circumstances including cancellation of the Non-therapists: Please Circle One: Riding Instructor/ Building on these equine skills, the attendee will course due to insufficient registration up to 3 Horse Handler/ Administration/ Other: _______________ explore the dynamic system of therapist, patient, weeks prior to the scheduled start date. Height: ______________ Weight: ________________ horse handler and horse as is applied in Notification will only be made to advanced Hippotherapy. Topics include: the history and registrants. Neither AHA, Inc. nor the host Special needs-mobility restrictions/ Dietary restrictions: development of hippotherapy in the US, _______________________________________________ facility is responsible for any expenses incurred *Registration is limited. understanding the biomechanical and sensory by registrants due to such adjustments. interaction of horse/human, horse selection, RATES Participant cancellation requests must be made safety principles, patient and horse selection, in writing no less than 3 weeks prior to the course AHA, Inc. Member *Non-AHA, Inc. Members precautions and contraindications, patient start date to receive a refund, minus a $115 Early Registration evaluation, maximizing the effects of equine $850 $975 administrative fee. No refunds will be given for movement including use of school figures and After January 4th, 2018 cancellations received within three weeks prior to movement progression, the role of the therapy $900 $1025 the start of the course. team members, documentation, business aspects METHOD OF PAYMENT Course Prerequisite: Successful completion of and current research in the effects of equine Pay via Credit Card & Register on-line on our Website movement. the on-line “Intro to Equine Skills” test reviewing www.quantumleapfarm.org equine care and management. Completion of the *Adaptive riding instructors, horse handlers, click “Events, AHA Level 1 & Register Here” course must be at least 3 weeks prior to the start administrators and others interested in Check Enclosed (Payable to Quantum Leap Farm, Inc.) of the course. AHA, Inc. staff will confirm with hippotherapy treatment principles are welcome to the host site that the test has been completed and Credit Card: VISA MASTERCARD AMEX attend, teamed with their therapist. Graduate passed. The cost of the test is $35.00. Visit the Name on Card: ___________________________________ occupational, physical and speech therapy AHA, Inc. website under “Curriculum students must be in their last semester of graduate Card #:________________________________ CVV: _____ Overview,” under the Education tab for a link to school to be eligible to attend this course for Exp. Date: ____________________ Zip Code:__________ purchase. credit. .
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