First name

Surname

E-mail address

Phone number

Billing address (normally corresponds to the residential address)

What is your horse's name, when was it born and what breed is it?

What problems does your horse currently have?

Lacking musculatureUnstable stifle jointsHeavy on the forehandLack of trunk lifting musclesArthrosisSaddle problemsProblems at the walkProblems at the trotProblems at the canterGait irregularities (if caused by musculature)Navicular syndromeKissing spines diagnosisStringhalt or ShiveringOther musculoskeletal problems (where vets declare training would help)SkittishnessPhlegmaticOther behavioral problems

(Optional) Photos of your horse and findings:

(Optional) Personal message

Telephone number of the local rescue service in the event of an accident

Telephone number of a trusted contact person in the event of an accident

Stable address (for location coordinates in the event of an accident)

How should the connection be established at the start of the lesson?

I have a Pivo and send an invitation link to mail@equisensomotoric.com (through the app Pivo Track) at the start of the lesson.I do not have a Pivo and would therefore like to be sent an invitation link at the start of the lesson.

Consent to data storage

I agree that Johanna Thanheiser may store this data for the purpose of communication, billing and safety reasons, as well as images of my horse taken during lessons (photos, videos) for documenting the progress of my horse.

(Optional) Newsletter subscription

Ich möchte mich für den Equisensomotoric® Newsletter anmelden!

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