Enrollment Application

All who are interested in attending Lookout Mountain School of Horseshoeing please use the form below as our online enrollment application. I understand that the school may accept or reject the application without notice or explanation. NO EXPERIENCE IS NECESSASRY TO ATTEND. TETANUS SHOTS ARE REQUIRED FOR ALL STUDENTS.

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Full Name(*)

Please type your full name.

Address(*)

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City(*)

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State(*)

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Zip Code(*)

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E-mail(*)

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Phone(*)

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Date of Birth(*)

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Place of Birth(*)

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US Citizen(*)

Yes

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Age(*)

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Height(*)

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Gender(*)

Male

Female

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Physical Handicap
(if so please describe)(*)

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Emergency Contact Information

Contact Name(*)

Please type your full name.

Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Emergency Phone(*)

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Insurance Provider(*)

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Education

High School(*)

Please type your full name.

Trade School(*)

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College(*)

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Horse Experience(*)

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Class Date(*)

Please select a date when we should contact you.

Desired Course(*)

2 Week Course

8 Week Course

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How should we contact you?

E-mail

Phone

If under 21 both parents or legal guardian must sign an additional hard copy mailed to our address.

Enrollment fee $100.00 with application non-refundable.

I affirm that all information given in this application is true to the best of my knowledge. I will assume and accept all responsibility for any accident or injury which I may suffer during the time of enrollment, as well as any compensation time. I further release and discharge LOOKOUT MOUNTAIN SCHOOL OF HORSESHOEING, its owners, instructors, horse owners, and any landowner in which a class or training is taking place, in all suits, actions, and all causes of act, under the terms herein set forth.

I certify that...(*)

all information contained herein is true and acknowledge that giving false information will void the application.

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Enrollment Application

Click here for a Printable Form

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