Horsin' Around Therapy Ambassador Application Form

We are looking for passionate individuals to be our brand abassadors who can successfully promote our company's values and services to the equine and livestock community.

Please fill out the information below and submit the form. We will process requests and get in touch with you.
Horsin' Around Therapy Ambassador Application Form
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
If you are under 18, please provide contact information for a parent or legal guardian.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Social Media

Other Social Media accounts
If you have other social media accounts that are not included in the previous question, please provide it here.
Why are you interested in become a Horsin' Around Therapy Ambassador?
What discipline do you typically ride?
How would you promote H.A.T and our services?
How many horses do you ride/own?
What makes you unique?
Please tell us more about you
Upload a Photo of you and your horse

Cancelof
Take Photo
What types of services are you familiar with?

PEMF TherapyEquiVibe or TheraplateCold Laser Therapy (LLLT)Red Light TherapyNebulizerEquine MassageEquiscopeChiropractorCryotherapyStatic Magnetic Blanket/Sheets (XLR8 or Benfab etc)HydroTherapyShockwave TherapyAcupunctureOther
Which of the above services do you currently use on your horse?
Have you used our services before?

YesNo
How did you hear about our Brand Ambassador program?

Social MediaNews/Print MediaFriends/Family
Which activity you are comfortable with doing?

Networking - talking to others about services HAT providesVlogging/BloggingLive EventsPosting (to socials) support people/businesses
Are you an affiliate or ambassador for another company?

YesNo
What other companies are you an affiliate or ambassador for?
What do you hope to gain by being a Horsin' Around Therapy Ambassador?*
If this request is for a group or a barn ambassadorship? Please include your group details here.*
Please provide your t-shirt size*
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