Lavinia Mitchell Consultation Form

[vc_row][vc_column][headline]If you would like to book a consultation with Lavinia please complete the following[/headline]

If you were referred to LM Saddles could you please identify the referrer?

* Indicates a required field

Owner of the horse(s)

Name*

Address*

Postcode*

Owner contact details

Email

Phone

Mobile

* Please supply an email address and at least one phone number in this section

Yard Contact number (if different from owner’s)

Telephone

Yard address (if different from owner’s)

Postcode

Details of your horse(s)
 

Name

Breed

Age

Height (Hands)

Horse 1

Horse 2

Horse 3

Horse 4

* Please assess the health and fitness of your horse(s):
Horse 1

Horse 2

Horse 3

Horse 4

Which of the listed activities do you do with your horse? (Use Ctrl-Click to select more than one)
Horse 1

Horse 2

Horse 3

Horse 4

Rider 1 Details

Height (Feet & Ins.)*

Weight (lbs.)*

ChildAdult

Age (Optional)

Details of current saddle

Saddle History

Girth length in inches

Saddle styles & colour
Which saddle styles are you most interested in trying? Ctrl-Click to select more than one
Rider 2 Details

Height (Feet & Ins.)

Weight (lbs.)

ChildAdult

Age (Optional)

Details of current saddle

Saddle History

Girth length in inches

Saddle styles & colour
Which saddle styles are you most interested in trying? Ctrl-Click to select more than one
Available Facilities
Indoor School
Flat Field
Outdoor Arena
Stabling or other shelter
Available and no-go dates
Please indicate the relevant days and times that you would prefer. If there are dates and times when you are definitely not available, please list them below.

Consultation fees for Lavinia
Applicable when she is in your area

Travel expenses
One horse
Each additional owned horse
Shared with another person
(shared whenever possible)
£75.00
£25.00
£50.00 each
£00.45p per mile

If you are beyond a 50 mile radius from Lavinia’s base, and you wish to book a Consultation with her outside of the dates offered for your area, we will do our best to accommodate your request and arrange to see other clients on the same day.

If this is not possible but you wish to proceed with an individual appointment with Lavinia, then a day rate of £200.00 plus travel will apply when the travel distance is more than a 100 mile round trip

Declaration and Agreement
I understand the format of the consultation and the agreed fee and travel expenses which are due on the conclusion of the consultation on the day*
Yes

Once my consultation appointment has been arranged, I agree to pay 50% of the consultation fee if I cancel the appointment with less than 24 hours notice (If due to illness or injury the cancellation fee will be set against a future appointment). If I cancel my appointment on the day, I may be required to pay my share of the prearranged travel costs*
Yes

I accept that I must take full responsibility for my own safety and that of my horse(s) during the consultation. The wearing of a hard hat to BSS standards is advised*
Yes

Please check that you have clicked “Yes” to all three items in the Declaration and Agreement section before submitting your form.

Please note, by submitting a form you are not committing to a consultation at this stage. An appointment date and time will be discussed and offered to you following receipt of your form.

Depending on your location, to give the most efficient service your consultation form may be shared with the LM Approved Saddle-Fitter in your area.

Lavinia’s personal Consultation fees and mileage costs are listed on the consultation information page. Please contact your area LM Approved consultant direct to discuss their fees.

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