Name *

First Name

Last Name

Address, City, State, Zip *

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Phone *

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Date of Birth, Age, Gender *

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Contact in case of Emergencies (Parents, Spouse, etc) *

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Level of Knowledge in Horses, Owner, Horseshoer, assistant etc. *

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Why you would like to attend: Personal use? or to begin a Professional Farrier Career? *

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Past injuries, Allergies, medications, disabilities (if any) that may interfere with your physical training and learning (or none). *

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Level of public or private school or other trade school(s) *

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What is your current occupation, past? (or none) *

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How will you be traveling? Personal Vehicle, Bus, Plane etc. *

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Method of Payment: personal or bank check, cash, debit or credit card. *

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What courses are you interested in? *

Equine /Apprentice I

Professional Barefoot Trimming Certification

Apprentice II

Journeyman I

Journeyman II

Equine Owners Trim Clinic

HNP Horsemanship 101

PEMF Equine Therapy

Preferred Date

MM

DD

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