Managed to solve this already so just wanted to provide feedback in case someone else also needs this.
Reference: http://forum.pfsense.org/index.php?topic=64414.0
Using the command line, create a file with additional hosts, like /etc/rr-hosts:
192.168.1.11 ltsp-server
192.168.1.12 ltsp-server
Back in the web GUI in DNS forwarder options, under "Advanced" add:
addn-hosts=/etc/rr-hosts
After settings are applied, you can ping the hostname repeatedly and notice it alternate between the IPs each time.
:)