Are You Fit To Ride

THERAPEUTIC BODYWORK AND HIGH-END PERSONAL TRAINING

Dressage

Polo

EQUESTRIAN

High-Performance Protocol

INTAKE FORM

First name

Last name

Phone

Birthday

Month

Day

Year

Address

Emergency Contact Name

Emergency Contact Phone Number

How long have you been riding?

How often do you ride?

What types of riding have you done?

What is your current skill level?

What are your goals for riding?

Do you have any pre-existing injuries or health conditions that we should be aware of?

Are you currently taking any medication that might affect your ability to participate in this equestrian fitness program?

Do you own or have access to your own gym and/or fitness equipment?

Do you have any specific preferences or concerns regarding this program?

Would you be interested in learning more about the ARE U FIT 2 RIDE Exercise Fitness program?

Is there any additional information you would like to share or specific requests you have regarding your riding lessons or experiences?

We'd love to hear from you! Whether you have questions about our programs, need assistance, or just want to connect, we're here to help.