Soul Shift Equine Coaching Intake Form

Tell us about yourself!

Participant Form

Coaching Intake Form

  • (if you don’t want to provide your birthdate, please provide your age)
  • Emergency Contact Info

  • Equine Coaching Questionnaire

  • Medical & Dietary Info

  • Tell us about your food preferences too (i.e. can’t stand chicken, love any kind of beans, etc.) the more specific you are, the better! Please note: we will accommodate all dietary restrictions. Every effort will be made to accommodate dietary preferences, but sorry, we cannot guarantee it, especially if your list is long or complicated.
  • Fitness Info

    Please contact us if you have any questions about your ability to participate in activities. We suggest that you consult your physician about participating following any serious illness or injury.
  • Include the activities you participate in (running, weights, swimming, cycling, pilates, etc.), the frequency with which you participate in each activity (how often, how far, how long), how long you have been doing each activity, and any other relevant info.
  • (weight loss, stress reduction, feeling good, etc.)
  • Which styles do you enjoy most, have you attended other yoga retreats, are you a yoga teacher, etc. Otherwise please indicate that you are a beginner.
  • Your Intention

  • Please share your intentions, goals, hopes and dreams, etc.!
  • (please call if you would like to discuss.)