Appointment Request Form - Arbitrage Tack

Basic Information

Name*

First Last

Phone*

Email*

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

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

Rider Information

Full Name

(if different from above)

Age

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

Rider Height*

Discipline(s)*

Horse Information

Horse Name*

Breed*

Horse's Age*

Horse Height*

Approx. Weight

This field is hidden when viewing the form

Current Bit

Barn Information

Barn Name*

Trainer's Name

Barn Address

Street Address Address Line 2 City State ZIP Code

Indoor/Covered Ring Available?

Yes
No

Saddle Information

Current Saddle Information

Brand*

Model Name

Serial Number

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

Tree Width*

Seat Size*

Seeking a New Saddle

Style

Width

Seat Size*

Budget

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

Last Dentist Appointment

Please indicate if sedation and/or a speculum was used

Last Farrier Appointment

Last Soundness Evaluation with Veterinarian

Last Chiropractic Appointment

Last Massage/Bodywork Appointment

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

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