Equine History
Complete the form below
Date
-
Month
-
Day
Year
Date
Horses Name
*
Name
Owner/rider
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Tell us about the rider(s)
Skill level, height. weight, age, main riding discipline, special needs
What is desired outcome
Summarize your goals
Description of Equine
Rows
Type
Breed
Age
Sex
Body Score (see chart below)
Shod
Equine
Draft
Warmblood
Light Horse
Gaited Horse
Pony
Mule
Donkey
Gelding
Mare
Stallion
1
2
3
4
5
6
7
8
9
Equine Body Score Chart
Optional: Upload a picture of your equine
Browse Files
A side photo showing the whole horse standing on level ground with head up and forward is most helpful
Cancel
of
Comments about the equine
Current Saddle Type and Brand and seat size
Thickness and type of current pad?
Saddle fit concerns - check all that apply
white hairs on my horse
uneven sweat patterns
bridging
saddle creeps forwards or backwards
impedes horse's shoulder
saddle rolls
saddle wags
saddle pitches down
Horse Sore backed
Rider uncomfortable
Horse has edema/swelling
Other
Optional: upload a detail picture of your main saddle fitting concern
Browse Files
Cancel
of
Anything else you'd like us to know?
Submit
Should be Empty: