Appointment Request Form - Arbitrage Tack

Appointment Type*

Client / Rider Information

Name*

First Last

Phone*

Email*

Rider Information

Full Name

(if different from above)

Age*

(If under 18, please have parent or guardian authorize under "Contact Us")

Rider Height*

Seat Size*

What discipline(s), and to what level, do you ride?*

Relevant Injuries and Limitations*

Are you experiencing any issues that have been affecting your riding and/or balance?*

Horse Information

Horse Name*

Horse's Sex*

Breed*

Horse's Age*

Horse Height*

What discipline(s), and to what level, is this horse trained?*

What is this horse's current workload? (Days of Week in Work, Length of Ride)*

Does this horse have any relevant injuries or limitations?*

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Approx. Weight

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Current Bit

Saddle Information

Please indicate what type of saddle you are looking for:*

I am looking for a new saddle
I like my current saddle
I think I need a different saddle

Current Saddle Information

Brand*

Model Name (or Style if unknown)

Seat Size*

Tree Width*

Serial Number (if known)

(Usually located under the billets on the left side, or under the left flap)

Special Features and/or Relevant Notes

Seeking a New Saddle

Style*

Width

Seat Size*

Budget*

Special Features or Requirements

Barn Information

Barn Name*

Barn Address*

Street Address Address Line 2 City State ZIP Code

Indoor/Covered Ring Available?*

Yes
No

Is there a covered aisleway to work under?*

Yes
No

Trainer's Name

Horse Health and Lameness Questionnaire

Click here to complete a health and lameness questionnaire.

Recommended if your horse is currently experiencing discomfort, soreness, changes in attitude, or any out-of-character behaviors.

Health and Lameness Questionnaire

Veterinarian Name & Practice Information

Last Soundness Evaluation & Relevant Findings

Recent Joint Injections

Dentist Name

Last Dentist Appointment

Select Relevant Options to Dental Appointment

Speculum
Sedation
Oral Exam with Light and Mirror/Camera
Power Float
Hand Float

Farrier Name

Last Farrier Appointment

Select One

Barefoot
Shod x2
Shod x4

Chiropractor Name

Last Chiropractic Appointment & Relevant Findings

Bodyworker Name(s)

Last Massage/Bodywork Appointment & Relevant Findings

Please detail any issues your horse may be experiencing in their rideability:

(change in attitude, discomfort, soreness, etc.)

Saddle Fitter Preference

Please select a saddle fitter:

Deb Fabiani, MSF
Julia Fabiani, QSF
No Preference