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Confidence Clinic
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Confidence Clinic Form
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Name
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Last
Yard Address (directions if appropriate)
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Email
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Contact Number
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Emergency Contact Name/Number
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Horses Name
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Horses Age
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Any medical issues we need to be aware of
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Any veterinary issuues we need to be aware of
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How did you hear about Lucy?
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Description of any current issues you would like to address
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