Appointment Request Form - Arbitrage Tack

Rider Information

Name*

First Last

Phone*

Email*

Enter Email Confirm Email

Rider Height*

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

Barn Name*

Barn Address

Street Address Address Line 2 City State ZIP Code

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

Horse Name*

Breed*

Horse Age*

Horse Height*

Approx. Weight

Current Bit

Use the checkbox below to choose what type of saddle you are looking for:*

Brand*

Model Name

Serial Number

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

Tree Width*

Seat Size*

Please enter a number from 135 to 20.

Style*

Seat Size*

Please enter a number from 135 to 20.

Width*

Budget*

health and lameness questionnaire

(Recommended if your horse is experiencing issues affecting their gaits, attitude, or general rideability)

Last Dentist Appointment

Last Farrier Appointment

Last Vet Appointment

Last Chiropractic Appointment

Please detail any issues your horse may be experiencing his or her rideability (lameness, soreness, attitude):