Let'e get to know you!

Clinic Registration Step 1 of 3

Please complete the form below to tell us more about you, your horse, and your goals:

About You

Full Name *

Address *

City *

State *

Postal code *

Email *

Phone Number *

For Minors Under 18 Years of Age

Minors under 18 MUST wear a helmet.

Name of Parent(s) or Guardian

Participant Birth Date

About Your Horse

Your Horse's Name *

Breed *

Age *

Sex *

Mare

Gelding

Stallion

Owner Name and Phone Number *

Vet Name and Phone Number *

Allergy/Medical Conditions *

Emergency Contacts

Emergency Contact Name and Relationship #1 *

Emergency Contact Cell #1

Emergency Contact Name and Relationship #2 *

Emergency Contact Cell #2

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.