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Name:
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Email address:
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Mobile number:
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Equine name:
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Equine breed:
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Equine discipline:
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Equine’s address/yard:
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How did you hear about us?
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Please tell us about your Equine: (how long have you had him/her, previous medical conditions, history of lameness, saddle fit, farrier)
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Vets name, practice, and contact information:
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