Barrio Performance Therapy - Equine Intake Form for New Clients Owner Name * First Name Last Name Email * Phone (###) ### #### Preferred Method of Contact Call Text Email Horse Name Breed Gender Mare Gelding Stallion Color + Markings Approximate Age Length of Ownership Discipline or Primary Job Veterinarian Name Farrier Name Why are you scheduling bodywork? Is there any other information that may pertain to the treatment of your horse (behavior changes, sensitive areas, tendency toward biting or kicking, etc)? Does your horse receive any other bodywork regularly? Regularly is considered 3+ times per year. No Option 2 Thank you!