New Rider Questionnaire – Four Gs Equestrian

Rider Name *

First

Last

How did you hear about us? *

What are your riding goals? *

What is your age? *

What is your height and weight? *

What school do you attend?

How long have you been riding? *

How many lessons are you looking to take weekly? *

Which days/times are you available for lessons? (Check all that apply.) *

Are you looking to own or lease a horse?

Are you interesting in joining our IEA teams (available for 4th-12th grade)

Are you interested in competing in a barn show on property?

Are you interested in showing at a local unrated circuit?

Are you interested in showing at rated/national shows?

Any additional information you would like us to know?

Who should we contact to follow up? *

Parent or Guardian Name

First

Last

Parent/Guardian Phone

Parent/Guardian Email

Your Email *

Your Phone *