Owner/Guardian Information Full Name* Email* Emergency Phone (during training) Address* Address (line 2) Address (line 3) City* State or Province* Zip or Postal Code* Phone (day)* Phone (evening)* Fax Animal's Information Horse's Name* Breed/Type* Age* Sex* Workshop Information Date* Location* General Information What type of riding do you do and/or in what type of riding discipline do you participate? How long have had your horse? What do you particularly like/love about your horse? What do you hope to get from this training for you and your horse? Why are you bringing this horse to the training? Behaviors Are there any behaviors or performance issues that you want to work on during this training? Tellington TTouch Training Experience What TTEAM/TTouch books have you read and what videos have you watched? If you have attended a TTEAM and/or a TTouch training, please tell us when and with which teacher for each. Health Please describe your animal's health and any health concerns you may have Please list vaccination history, if applicable. (this can be important in understanding some health or behavioral changes) Is your horse currently under the care of a veterinarian? and what for? Is he/she on any medication? Other Comments What are your goals for bringing your horse to this training? Other comments or items of note Signature Owner (please type name to indicate signature)
