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Coaching Session with Pat Parelli
Application Form
*
Indicates required field
Event Name
*
Event Location
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Event Date
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Ticket (Sales Order) Number
*
Email
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Phone Number
*
Your Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Age Group
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18-30
31-40
41-50
51-60
61 +
How many horses do you currently own?
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Total horses owned in the past?
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How long have you been studying the Parelli Program?
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Savvy Club Member Number (if applicable)
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Member Level (if applicable)
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Parelli Levels Officially Passed (if applicable)
On Line
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Level 1
Level 2
Level 3
Level 4
FreeStyle
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Level 2
Level 3
Level 4
Liberty
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Level 3
Level 4
Finesse
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Level 4
Tell us about the horse you are wanting to bring to the coaching session with Pat Parelli
Horse's Name
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Breed
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Height
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Age (must be between 4-14 yrs old)
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How often is this horse ridden?
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Hours under saddle
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Date last ridden
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Sex (NO STALLIONS Please!)
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Mare
Gelding
Rideable
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Yes
No
Gaited
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Yes
No
Condition (Must be healthy, sound, feet trimmed/shod)
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Unfit
Average
Lean
Behavior Difficulties
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Dominant
Scared
Pushy
Nervous, tense
Over-confident
Won't stand still
Choose Any
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Clever
Hard to catch
Playful
Hard to lead
Disobedient
Bolts
Choose Any
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Rears
Aggressive
Bites
Spooks
Girthy/Cinchy
Over-excitable
Choose Any
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Bucks
Kicks
Lazy
Strikes
Trailer Loading
Additional notes
*
I am interested in a
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Ground Training session
Riding Session
Submit
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