Valkyrie Ranch New Student Form
This questionnaire is meant to help us asses each new students level & goals so we can find the best place for them within our program. Please try to fill out each question as best you can.
Questionnaire is meant to be filled out at the same time as booking your first lesson/class. Filling out this form is not an effective way of contacting us. To book your appointment or send us an email please go to
Student Name *
Student age (if child)
Name of Parent/Adult Contact (if applicable)
Email *
Address *
Phone number *
Please select all boxes that applies to what the student can ALREADY DO to help us assess ridding level. *
On a scale of 1-10 please rate students confidence level (handling & riding horses) *
Overly Confident
What are the students initial goals? *
Does the student have any long term equestrian goals?
Anything else you'd like to add?
How did you hear about us? *
Thank You!
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