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Equine-Partnered Wellness Intake Form

Thank you for your interest in Silver Saddle's Equine-Partnered Wellness Sessions.

Our wellness sessions offer a meaningful opportunity to connect with horses through guided, ground-based experiences that encourage presence, reflection, calm, and wellbeing. No horseback riding experience is required.

Equine-Partnered Wellness is educational and experiential in nature. It is not psychotherapy, counseling, medical treatment, or a substitute for mental health care.

The information you share will help us tailor your experience and ensure it is safe, comfortable, and meaningful. All information is kept confidential and used only to support your participation.

Participant's First Name *

Participant's Last Name *

Date of birth *

Age

Parent/Guardian Name *

Relationship to Participant *

Phone *

Email *

Select Wellness Program

Select an option

About You

What do you hope to gain from these sessions? (Check all that apply.)

Stress reduction

Calm and relaxation

Mindfulness and presence

Greater self-awareness

Emotional balance

Confidence building

Personal insight and growth

Life transition support

Enjoyment

Other

Is there anything you'd like your facilitator to know about your current situation that would help us support your experience?

Experience with Horses

Have you spent time around horses before?

Select an option

How comfortable do you currently feel around horses?

Select an option

Health & Safety

Do you have any current physical limitations, injuries, medical conditions, or physician-imposed restrictions that may affect your ability to participate safely in horse-partnered activities?

Select an option

If yes, please explain:

Do you have any allergies, sensory sensitivities, or other health considerations that would help us provide a safe and supportive experience?

Select an option

If yes, please explain:

Accessibility & Support

Do you have any mobility considerations or support needs that you'd like us to know about?

Select an option

Is there anything we can do to make your experience more comfortable, accessible, or supportive?

Contact Preferences

Preferred days:

Check all that apply

Preferred times:

Check all that apply

Method of Communication:

Check all that apply

By checking this box, I consent to receive non-marketing text messages from Silver Saddle Stables. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Silver Saddle Stables at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Privacy Policy | Terms of Service | SMS Terms of Conditions

Thank you for taking the time to complete this form. We appreciate the opportunity to be part of your wellness journey. A member of our team will contact you soon to schedule your Equine-Partnered Wellness session. We look forward to welcoming you to Silver Saddle.

1900 Riverside Dr

Glendale, CA 91201

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