Consultation Form


	Under development, please do not use

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.


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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 email address and Client ID for the Owner section. Otherwise, please fill in all owner details fields except Client ID.

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

Yes


	Owner of the horse(s)


	Contact name and number


	Yard address if different from owner’s

Address
Postcode


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	Details of your horse(s)


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

Horse 1	Horse 2	Horse 3	Horse 4
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

Details of the rider
Height (ft & ins)
Weight (lbs)
Age
Please enter your age above or click one of these buttons
Adult	Child

Details of current saddle	Saddle styles
	Which saddle styles are you most interested in trying? Ctrl-Click to select more than one
Saddle history

Please replace this text with any history of saddle-related problems such as physical or emotional issues, riding and training concerns.


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	Available facilities

Indoor school

Flat field

Outdoor arena

Stabling or other shelter


	Available dates

		If you wish to book a consultation during a planned visit to your area, please indicate the dates and times when you are not available.

*Please note:*
If a new saddle is purchased, as a result of the consultation, half the consultation fee will be refunded

I understand the format of the consultation and the agreed fee and travel expenses which are due on conclusion of the consultation.	Yes	No
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	No
I accept that I must take full responsibility for my own safety and that of my horse during the consultation. The wearing of a hard hat to BSS standards is advised.	Yes	No


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