Book Now Book NowBook NowBook NowBook Now Book Now Book Now Name * First Name Last Name Email * Phone * (###) ### #### Barn Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What services are you interested in? Initial Massage Assessment Equine Massage Treatment Session Lesson Horse Massage Package Multi Horse Massage Package Preferred Date Option 1 * MM DD YYYY Time Hour Minute Second AM PM Preferred Date Option 2 * MM DD YYYY Time Hour Minute Second AM PM Horse's Name Horse's Age * Horse's Breed * Please select any issues you may be having with your horse Select any issues that may apply- select as many as you are experiencing Bucking Rearing Difficulty bending Lack of contact/ difficult to steer Reactive with girth Issues picking up hooves Tilts head Throws head/ holds head high Uneven hindquarters Shortened stride Stiff overall Choppy strides Tracks inward or outward Drags hooves Uncoordinated Discomfort chewing food Hard time stretching over fences Sensitive to leg aids Doesn't supple under rider Other Any Additional Information or Comments Thank you!