Application for Enrollment

Please enter information in the form below to register to the 8 Week Horseshoeing Class Oct - Dec.

First Name *

Last Name *

DOB *

Address *

City *

State *

Zip *

Phone *

Email *

Do you require on-campus housing?

Yes, I need a room on campus for the 8 weeks

No, I do not need a room on campus for the 8 weeks

Payment Information

Amount

$

Payment processing fee

$

Gross amount

$

Payment Method

Billing Zipcode*

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Type*

Card Holder Name*

JAN

08

8 Week Horseshoeing Class Jan-March
MAR

18

8 Week Horseshoeing Class March - May
AUG

05

8 Week Horseshoeing Class: Aug - Sept
OCT

21

8 Week Horseshoeing Class Oct - Dec