Reed Training and Sales at Stillmeadows Farm
8472 Wyndale Drive
Mechanicsville, VA 23116
stillmeadowsfarm1@gmail.com
reedtrainingandsales.com
New Rider Questionnaire
If you are a parent registering a child, please have your child help you with their responses. **Important Note: Safe Sport regulations require a parent or guardian to be included in any communications between a minor and a professional or other adult in the equine industry. If you are under the age of 18, we require your parent or guardian's email address to be included on this form.**
Lesson Costs
Lessons are $60/lesson. Evaluation lessons will be scheduled when time allows
Rider's Name
*
First Name
Last Name
Parent/Adult Contact's Name (If rider is under 18 years of age)
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
Email must be for an ADULT. We are unable to respond to email inquiries for minors.
Rider Age
*
Rider's Height
*
Needed to ensure appropriate horse assignments.
Rider's Approximate Weight
*
Needed to ensure appropriate horse assignments.
Riding Experience
Please complete the following questions to the best of your ability so that we can accurately determine an appropriate lesson.
I have been riding for
*
No experience
Less than 1 year
1-3 years
3+ years
I am comfortable... (please select all that apply)
*
1) Never been on a horse
2) Walking by myself
3) Trotting on the lunge line
4) Trotting by myself
5) Walking and Trotting over poles on the ground
6) Cantering on the lunge line
7) Cantering by myself
8) Cantering over poles on the ground
9) Jumping single jumps up to cross rail height
10) Jumping short courses up to cross rail height
11) Jumping single jumps up to 2'
12) Jumping courses up to 2'
13) Jumping courses higher than 2'
If you selected up to Number 2 above, please select all that apply here
1) I am comfortable only sitting and minimal steering
2) I can ride in a two-point position
3) I can perform simple figures such as circle, half circle, etc
If you selected Numbers 3, 4, or 5 above, please select all that apply here
1) I can ride in a two-point position
2) I can ride at a posting trot
3) I know what my diagonals are
4) I am comfortable trotting circles, half circles, and other figures in the ring
5) I have participated in a horse show at the walk and trot
If you selected Numbers 6, 7, or 8 above, please select all that apply here
1) I can canter in two-point or half seat position
2) I can canter circles and other figures around the ring
3) I know what canter leads are and can identify when my horse is on the correct lead
4) I know how to perform a simple lead change
5) I know how to perform a flying lead change
6) I have participated in a horse show at the walk, trot, and canter
If you selected Numbers 9 or 10 above, please select all that apply here
1) I have less than 6 months experience in jumping
2) I can jump single jumps confidently
3) I can jump a course of jumps confidently
4) I have experience counting strides in between jumps
5) I have participated in a horse show over jumps at cross rail height
If you selected Numbers 11, 12, or 13 above, please select all that apply here
1) I am comfortable jumping a course of jumps at cross rail height with a single 2' jump here and there
2) I am comfortable jumping a hunter style course of jumps
3) I am comfortable jumping a jumper or equitation style course of jumps
4) I am comfortable jumping both verticals and oxers in a course of jumps
5) I have participated in a horse show over fences at 2' or higher
My riding goals include (select any/all that apply)
*
Casual riding/just for fun
Interested in showing in local horse shows
Interested in showing in rated horse shows
Interested in IEA (Middle School and High School aged riders)
Interested in leasing or purchasing a horse
Other
I am hoping to ride
*
Once per week
Twice per week
Three or more times per week
Ground Work - I am comfortable (Please select all that may apply)
*
I do not know how to groom or tack up my horse yet
I am comfortable grooming by myself
I am comfortable tacking up my horse by myself
I can groom and tack up but may need help if my horse is difficult (ie grumpy, hard to bridle)
I am confident grooming and tacking any horse and can provide assistance to other riders who may need help
Please let us know what your ideal lesson times and availability are
*
We teach Tuesday through Sunday. We offer morning lessons as well as afternoon and evening lessons. Riders who can fit into our already scheduled afternoon/evening group lessons will be easiest to place.
Please let us know any other information that you feel would be helpful to us, including where you have been riding (if anywhere), any limitations you may have, how long it has been since you have ridden if you have not been riding recently, etc
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