Oklahoma State Horseshoeing School
Application Agreement
to be Returned for
Enrollment
Use your browser's print function to print this form. Fill it
out and mail it with payment to Oklahoma State Horseshoeing School, 4802 Dogwood
Road, Ardmore, Oklahoma 73401 USA, 580-223-0064, or toll free at 800-634-2811
Date ____________________________
Name _____________________________
Address __________________________________________________________________
Social Security #: _________________________________
Day phone #: (_____) _____________ Evening phone #: (_____) ___________
Request admission for class beginning date: ______________________________________
Alternate admission date for beginning class: ______________________________________
Who referred you to this school (magazine, etc.) __________________________________
Date of Birth _____________ Sex _______ Age _________ Height/Weight ____________
Marital status: ______________________
Disabilities, if any: ___________________________________________________
Education Years Name/Location of School Course of Study Degree
High School: _____________________________________________________________
College: ________________________________________________________________
Trade School: ____________________________________________________________
Experience with horses or in the horseshoeing field _________________________________
_______________________________________________________________________
Name of Employer: ________________________________________________________
Address of Employer: ______________________________________________________
Your duties: _____________________________________________________________
Veterans: I will be attending on the G.I. bill: ____ Yes ____ No
Transportation: ____ Car ____ Bus ____ Plane
Applicant: ___ Desires Dormitory ___ Does Not Desire Dormitory
I will assume full responsibility for injury to myself, and will not hold the Oklahoma State Horseshoeing School or anyone connected, responsible for accidents. I have read and understand this enrollment agreement, and have thoroughly read the O.S.H.S. Web Site in full, which is part of this enrollment application, and understand that the policies contained therein apply. I understand that this enrollment application is personal to me, and that if I desire to assign the same, I must get the written consent of the Oklahoma State Horseshoeing School.
Signature of Applicant: __________________________ Date: ____________
If Applicant is under 18 years of age, the parent or guardian MUST sign below, AND have the signature notarized.)
Signature of Parent/Guardian: __________________________ Date: ____________
I understand that the school may accept or reject this application.
Oklahoma State
Horseshoeing School
Official's
Signature: ____________________________ Acceptance Date:
______________
Accepted for the Class beginning: ______________________
Please send $250 along with this
completed application form to:
Oklahoma State Horseshoeing School
4802 Dogwood Road
Ardmore, Oklahoma 73401 USA
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