Minnesota School of Horseshoeing

6250 Riverdale Dr., N.W., Ramsey, Minnesota, 55303 USA
Phone: (763) 427-5850, (800) 257-5850, FAX: (763) 427-3395

APPLICATION FOR ENROLLMENT

(To use this form print it out on your printer, answer all the questions, and mail it to the address above.)

Date: _____________

Name (Please Print): _________________________________________________________

Address: _________________________________________________________________
                                                                                  City                       State         Zip

Social Security No.: ___________________ Telephone #: ______________________

Who referred you to this school (Web Site, Magazine, Friend, etc.): ___________________

Date of Birth: _____________ Sex: _________ Age: _____

In case of accident, notify: ________________________________________________________________
________________________________________________________________

Level of education (Fill in all that apply):

  • Attended High School (Name of School: ____________________________________)
  • Graduated High School:_____________
  • Attended College (Name of College: _______________________________________)
  • Graduated College (Degree earned: ________________________________________)
  • Attended Trade School (Name of School: ___________________________________)
  • Graduated Trade School (Trade learned: ____________________________________)

Experience with horses or the horseshoeing field: ________________________________________________________________________
________________________________________________________________________

Name of employer: ________________________________________

Address & phone number of employer: ________________________________________________________________________

Your duties: _______________________________________________________

As a student of Minnesota School of Horseshoeing, I hereby release the aforementioned facility, and its instructors, from all liability arising from any accident(s) which may occur during the length of the course I will take.

Applicant's signature: _____________________________

Application is hereby made for the following course: (Check one)

Year 2008: ____ January 7 - March 14    ____ March 24 - May 30    ____ June 9 - August 15    ____ September 8 - November 14

Year 2009: ____ January 5 - March 13    ____ March 23 - May 29    ____ June 8 - August 14    ____ September 14 - November 20

Year 2010: ____ January 4 - March 12    ____ March 22 - May 28    ____ June 7 - August 13    ____ September 13 - November 19

Each course has a limited number of openings, so please make reservations in advance. A $100 Registration Fee must accompany this form. The balance, $4,900, is due the day of admission. (AMEX/MasterCard/Visa/Discover accepted)

Please send this completed application form to: Minnesota School of Horseshoeing, 6250 Riverdale Dr., N.W., Ramsey, Minnesota, 55303 USA

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