First Name *

Last Name *

Age *

Home Address *

Phone *

Email *

Yard Address *

Occupation

By entering my medical details below, I explicitly consent to my medical questionnaire (including any data in it about my physical and mental health) being processed by Why Do Horses Ltd for the purposes of ensuring my safety when engaging in its services. *

I agree

Height

Weight

Have you ever suffered a serious injury or discomfort whilst riding or handling horses or been advised not to participate in these activities? If yes, please describe, or mark N/A if not applicable *

Please describe ANY disability or medical conditions that may affect your ability to ride, train or handle horses which your Coach/Instructor should be aware of, in case of emergency, or mark N/A if not applicable *

Emergency Contact Name/Phone *

Horse's Name *

Horse's Age *

Breed

Sex

What are this horse's usual temperament and characteristics like?

Please describe any equine medical considerations and physical capabilities: *

Brief life history of the horse (including previous training):

Previous number of owners

Length of Ownership

Please describe this horse's exercise routine *

Please give details about this horse's feed (brand/amount/number of times daily). Hard feed? Forage? Supplements? *

Who is the usual caregiver for this horse? *

What, if any, are the weekend or holiday changes in the usual management of this horse? *

Insured?

Reasons for having a horse?

Reasons for Having This Particular Horse?

I consider myself to be a:

How many times have you/ trainer trained in last 12 months:

If using reward-based training, do you currently use a marker/bridge signal (also known as a clicker)?

If using reward-based training, what do you use as a reward?

Reason for enquiry about training:

Have you tried to seek help before? If so, what advice were you given?

Have you tried other methods to train this behaviour? If so, what have you tried? *

Please describe your horse training area. (For example: Is it grass or sand? Is it fully enclosed? Are you able to have sole access for a session? Are you allowed to work at liberty?) *

What would you like to improve on/achieve with your training? Do you have any goals that you are working towards? (Short-term & Long-term)

If you could achieve anything at all with this horse what would it be?

Please access the VARK Questionnaire at: https://vark-learn.com/the-vark-questionnaire/ Please note your learning style scores below:

Is there any other information which may be relevant to this situation? *

I confirm that the above pre-assessed abilities are correct and I agree that I PARTICIPATE ENTIRELY AT MY OWN RISK. I confirm to the best of my knowledge all above details are correct. I acknowledge THAT EQUESTRIANISM IS A RISK SPORT AND HOLDS A POTENTIAL DANGER and that all horses may react unpredictably on occasions. I will take reasonable precautions to keep myself and others safe, when handling and training my horse. This includes wearing a current standard hard hat, appropriate gloves and appropriate footwear. I understand that horses can respond differently in different scenarios and what might be safe in one situation/occasion may not be appropriate in another. To this end, I understand that I will need to make my own assessment as to the safety of a situation and task when my Coach/Instructor is not present. I understand that if I feel an activity or task is unsafe, then I should not proceed and that I undertake all exercises at my own risk. GENERAL DATA PROTECTION REGULATION 2018 Statement: I understand that the information I have given will be held in accordance with the General Data Protection Regulation 2018 but may also be made available to insurers and other concerned parties in the event of an injury or accident. *

I agree

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