Sign up - Jeroen Duenk

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The address and contact form are underneath this signing up form!

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Details rider/owner

Name*

First name Last name

Adress*

Street + number City Post Code

E-mail adress*

Phone*

Details horse / pony

Name horse / pony*

Breed*

Height*

Sex*

Year of birth*

Discipline

Level

Has he/she recently seen a veterinarian?*

Yes

No

If yes, please explain why he/she was seen by a vet

Stable

Name stable/ yard*

Adress

Street + number City Post Code

What do you know about the history of your horse, and what are the problems at this moment?

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Jeroen Duenk

Registered equine osteopath and sports massage therapist

FOR THE PERFECT HARMONY BETWEEN HORSE AND RIDER

Equine osteopath and sports massage therapist Jeroen Duenk
Hollenberg 9
7121 MC Aalten
The Netherlands

KVK no: 57708444
TAX no: NL101297750B01
IBAN: NL03RABO0103245928

More information

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