Equine Admission Form
Please complete as fully as you can, ask centre staff if you need any additional details
Owner Details
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Would you like to sign up to our mailing list
Yes
No
Phone Number
*
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Horse Details
Horse Name
*
Age
Breed
Height
Sex
Mare
Gelding
Stallion
Vaccinated
Yes
No
Worm count/ wormed
Yes
No
Insured
Yes
No
Veterinary Practice details
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Bespoke package details
Start of Stay
*
-
Day
-
Month
Year
Date
Drop off time
*
Hour Minutes
AM
PM
AM/PM Option
End of Stay
*
-
Day
-
Month
Year
Date
Collection time
*
Hour Minutes
AM
PM
AM/PM Option
Your horses wellness goals
Weight management
Laminitis management
Equine Metabolic Syndrome management
Arthritis management
Post operative rehabilitation
Injury rehabilitation
Performance enhancement
Postural correction
Other
Relevant veterinary history
Package
*
Wellness week £530
Mini Spa £225
Peak Performance Package £595
Weight Management Package £544
Pamper Package £313.40
Rehabilitation Retreat 7 days £575
Rehabilitation Retreat 28 days £2180
Other
Method of warm up
*
Horse walker
In-hand walking
Box rest (warm-up undertaken in the pool)
Other
Post swim wash off (recommended for horses with skin sensitivity)
Yes
No
Other
Post swim solarium
Yes- experienced under solarium
Yes- never been under one before
No- towel dry, rug and return to stable
Other
Additional Therapy Services
Single physiotherapy session £60
Daily magnetic pad session £10/day
Daily massage pad session £10/day
Cryotherapy £2/session
Laser therapy £20/session
Pulsed Magnetic Therapy £20/session
Holding for vet/farrier/dentist during stay £10
Additional Spa Treatments
Full body bath £25
Relaxing Equissage session (Ideal for general wellbeing) £25
Full clip- Half head legs off £50
Blanket Clip £40
Full clip- leg on £45
Hunter Clip £40
Trace Clip £35
Bib Clip £30
Legs off: feathered breeds £20
Hot oil £10
Additional stay details
Would you like additional information regarding
Nutrition
Supplements
Rehabilitation program
I give consent for my horse's photos & videos to be used for educational & marketing purposes.
*
Yes
No
Other
How did you hear about the centre
Vet recommendation
Word of mouth
Social media
Google
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Your horses daily care
Forage
*
Hay
Haylage
Soaked Hay
Method of feeding
On the Floor
Small Hole Net
Large Hole Net
Other
Weight of net or ad-lib
Bucket feed
Morning
Evening
Current feed inc supplements & medication
Horses Behaviour - please state any relevant information regarding the horse's behaviour when being handled & in the stable
Horses likes/dislikes
Current work load
Box rest
1-2 days per week
3-4 days per week
5-6 days per week
Other
Work intensity
Inhand walking
Light
Medium
Hard
Other
Additional care information
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Terms & Conditions
All horses receive therapy and stay at the centre entirely at the owner's risk.
Owners are responsible to inform NETC during the course of therapy of any change to the horse's conditions or if a Veterinary Surgeon has advised that the treatment be stopped or suspended.
NETC reserve the right to refuse treatment to any horse.
Owners must not feed their horse any forage at least 30 minutes before swimming.
Full Veterinary history must be disclosed before therapy.
Hydrotherapists full permission must be given first before taking photos and videos of treatment.
NETC require 24 hour notice period for all cancellations. If you cancel within 24 hours of your intended appointment or do not show up, there will be an automatic charge of £50 added to your account. This is treated on an individual basis so it is advised you call us as soon as possible.
NETC cannot be held responsible for any loss or damage to vehicles or personal property within the NETC vicinity.
Children attending the centre must be supervised at all times.
NETC will ensure safeguarding and maintenance of the water, pool and hydrotherapy equipment at all times.
All owners must wear non-slip footwear, correct PPE, and take extreme caution when onsite.
NETC are not responsible for any injury incurred whilst at the centre
Signature
*
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