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Valkyrie Ranch New Student Form
This questionnaire is meant to help us asses each new students level & goals so we can find the best place for them within our program. Please try to fill out each question as best you can.
* Indicates required question
Questionnaire is meant to be filled out at the same time as booking your first lesson/class. Filling out this form is not an effective way of contacting us. To book your appointment or send us an email please go to
www.ValkyrieRanchllc.com
Student Name
*
Your answer
Student age (if child)
Your answer
Name of Parent/Adult Contact (if applicable)
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Please select all boxes that applies to what the student can ALREADY DO to help us assess ridding level.
*
Never ridden before
Control horse at a walk
Sitting Trot
Posting Trot
Canter/Lope
Two Point
Jumping
Dressage Test
Lateral Movements
Advanced western/trail maneuvers (spin, side pass, etc.)
Required
On a scale of 1-10 please rate students confidence level (handling & riding horses)
*
Scared/Timid
1
2
3
4
5
6
7
8
9
10
Overly Confident
What are the students initial goals?
*
Your answer
Does the student have any long term equestrian goals?
Your answer
Anything else you'd like to add?
Your answer
How did you hear about us?
*
Google
Facebook
Instagram
Youtube
Referral from a friend
Other:
Thank You!
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