HomeBanner1 Consultation Form

NOTE

 This page is the on-line form for booking a consultation.
  If you prefer to work off-line, please click here to download the form.

The form uses “Active-X” controls ---- if your browser displays a security message then please allow ”Blocked Content”.

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If you were referred to me, could you please identify the referrer?

If you are already registered with this site you need only supply your name and Client ID plus a phone number or an email address (for the Owner section).

Would you like to register your details on this visit to the site?

 

Yes

 

No

 

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* indicates a required field

Owner of the horse(s)

* Name

* Address

Postcode

                             

* Owner contact details

Client ID

Email

Phone

Mobile

* Please supply an email address and at
  least one phone number in this section

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Contact name and number
(if different from owner’s)

Name

Phone

Mobile

Yard address
(if different from owner’s)

Address

Postcode

                             

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Details of your horse(s)

 

Horse 1

Horse 2

Horse 3

Horse 4

* Name

* Breed

* Age

* Height
  (hands)

* Please assess the health and fitness of your horse(s):

Horse 1

Horse 2

Horse 3

Horse 4

Which of the listed activities do you do with your horse?
(Use Ctrl-Click to select more than one)

Horse 1

Horse 2

Horse 3

Horse 4

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Details of the rider

* Height
(ft & ins)

* Weight
(lbs)

Age

* Please enter an age or else
  click one of these buttons

Adult 

Child 

Details of current saddle

Saddle styles & colour

Which saddle styles are you most interested in trying?
Ctrl-Click to select more than one

Saddle history

  Girth length in inches 

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Available facilities

Indoor school

 

Flat field

 

Outdoor arena

 

Stabling or other shelter

 

Available dates

Please indicate the relevant days and times that you would prefer. If there are dates and times when you are definitely unavailable, please enter them.

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Fees and expenses

 

 

 

 

Consultation fee

 

One horse

£67.00

 

 

 

Each additional owned horse

£27.00

 

 

 

Shared with another person

£47.00 each

 

Travel expenses

 

(usually shared)

45p per mile

Please note:

If a new saddle is purchased, as a result of the consultation, your first follow-up visit and flocking adjustment will be free of any charge other than travel expenses.

Declaration and Agreement

I understand the format of the consultation and the agreed fee and travel expenses which are due on conclusion of the consultation.

Yes
 

Once my consultation appointment has been arranged, I agree to pay 50% of the fee if I cancel the appointment with less than 48 hours notice (If due to illness or injury the cancellation fee will be set against a future appointment).

Yes
 

I accept that I must take full responsibility for my own safety and that of my horse(s) during the consultation. The wearing of a hard hat to BSS standards is advised.

Yes
 

Please check that you have clicked “Yes” to all three items in the Declaration and Agreement section before submitting your form.

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