Rider Performance Coaching Intake Application
Please complete this form to apply for coaching and help us understand your goals and preferences.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Have you previously completed physical therapy?
*
Yes
No
How often do you ride or train?
Daily
4–6 days/week
2–3 days/week
Inconsistent / seasonal
Primary discipline(s)
Barrel Racing
Breakaway Roping
Reining
Cutting
Team Roping
Ranch / Cow Horse
Trail Riding
Other
Competition level (if applicable)
Recreational / local
Amateur
Open / professional
Not currently competing
What best describes why you’re applying: (Check all that apply)
I want to improve my riding performance
I feel unstable or inconsistent in the saddle
I’m returning to riding after an injury
I’m currently riding with pain
I feel like my body is holding my horse back
Where do you notice issues when riding: (Check all that apply)
Hips
Low back / SI
Knees
Shoulders / upper body
Core / balance
I’m not sure, but something feels off
Are you currently experiencing pain related to riding?
Yes
No
Describe the pain (location, intensity, when it shows up):
Any previous injuries, surgeries, or diagnoses that affect riding?
What feels hardest for you in the saddle right now?
What have you already tried to fix this?
What would you want to feel different in your riding 3–6 months from now?
How important is it for you to address this right now?
Not urgent
Somewhat important
Very important
Top priority
Are you open to guided coaching and structured training to address this?
Yes
No
Which best describes what you’re looking for?
Structured program with coaching support
Fully individualized 1:1 coaching
Not sure — open to recommendation
Investment range you’re prepared for if we’re a good fit:
Mid-ticket program
High-ticket 1:1 coaching
Open to discussing both
Just gathering information
Anything else you want me to know about you, your riding, or your horse?
Submit Application
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