New Riding Student Request Form

Horse and Soul Intake Form
How did you hear about Horse and Soul?*
Student Name*

First NameLast Name
Parent Name (if student is under 18)*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Does your student have special needs/considerations? If so, please explain below. If not, put NONE.*
I want my student to learn:*

English (with Jumping)GroundworkWesternEnglish (no jumping)
These are the goals my student has for their riding:*
Briefly describe any previous riding experience:*
I would like to learn more about*

Showing/CompetitionsOwning a horseLeasing a horseUnited States Pony ClubHorse industry opportunitiesnone of the above
I am available for lessons*

Weekdays before 3pmWeekdays after 3pmONLY on Weekends
I am hoping for lessons from*
I prefer to be reached by*

calltext
Should be Empty:

Horse and Soul Intake Form