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Massage Therapy
Treatments/Prices
Contact
New Client Booking Form
Pilates

New Client Form

First name*

Last name*

Email*

Phone*

Address

Horses Name*

Address (Horse yard)*

Horse Gender

Mare

Gelding

Stallion

If Mare is she in foal or had a foal recently?

Breed

Horses Age

Height in hands

Current workload (Box/light/moderate/Competition)

Veterinary practice horse is registered to?*

Known Injuries, Surgeries, or Chronic Conditions: (e.g., Kissing spines, arthritis, suspensory tears)*

Is your horse currently being treated by your Vet? (Vet consent form may be needed.)*

Is your horse currently unwell? ( Vet consent form may be needed.)

Last Farrier visit date?

Last saddle fit date?

Last dental visit date?

Social/Routine (Turnout/stable time)

Does your horse have any vices? (Crib/Box walk/Weave)

Please state what tack your horse uses (saddle/bridle/driving harness)

Please state concerns, if any as to why you would like the horse treated. (Maintenance/rehab etc)

Temperament: (e.g., High-energy, anxious, easy-going)

Handling Preferences: Are there areas on the body where the horse is reactive, head-shy, or objects to being touched?

Has the horse ever received professional bodywork before? If yes, what type and when?

Describe any specific movement or performance issues (e.g., wrong lead, hollow back):

Veterinary Disclaimer: I understand that equine massage therapy is intended to promote relaxation, improve circulation, and relieve muscle tension. It is not a substitute for professional veterinary medical care, diagnosis, or treatment.*

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I confirm that the horse is in stable health and that I have disclosed all known medical conditions and injuries.*

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Cancellation Policy: I agree to provide at least 24 hours' notice for cancellations, or I may be subject to a cancellation fee.*

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Media Consent: Permission to use photos of the horse on our social media or website.*

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I, the owner/groom/yard owner confirm I have read and agree to the Terms & Conditions when booking with Phantom Petrissage.*

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What Happens Next?

Once submitted, Samantha will review your horse's health history and contact you within 24 hours to confirm your preferred session time and provide a pre-massage preparation guide.

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What Happens Next?

Once you submit your new client intake form, we carefully review your horse's health history and session preferences. Our team will contact you within 24-48 hours via email or phone to confirm your appointment and discuss any specific goals.

© 2026 Phantompetrissage. All rights reserved.

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