Your Company Name Here
Texas Farrier Apprentice Program
152 Rios Rd.
Goodrich, Texas 77335
936-365-2603
STUDENT ENROLLMENT APPLICATION
Date____________

Name___________________________________________________________

Address____________________________________________________________________

Social Security Number____________________________  Telephone________________________

Date of Birth_________________________ Sex_______  Age________ Height / Weight____________

Driver License #_____________________   State____________

Level of Education (All that Apply)
High School_____________________________________
Graduate Year___________________________________
College________________________________________
Trade School____________________________________
Graduate Year___________________________________

Experience with horses or horseshoeing
field__________________________________________________________________________

Name of Employer_____________________________________________________________
Address_____________________________________________________________________
Telephone #_________________________
Duties_______________________________________________________________________

Application is hereby made for the following Program

6 week___________$4,000.00
This class includes books,tuition, and housing.

Other Fees
Registration and Housing  $350.00  (non-refundable)

Method of Payment:  Cash, Check, Visa, Master Card, American Express or Money Order

ZERO TOLERANCE
ANY STUDENT WITH DRUGS OR ALCOHOL IN THEIR POSSESION ON SCHOOL PROPERTY WILL BE
DISMISSED IMMEDIATLY.....NO EXCEPTIONS.

STATEMENT

As a student of The Texas Farrier Apprentice Program, I hereby release the aforementioned facility, and it's
instructors, from all liability from any accidents, which may occur during the length of coarse i will take.


Applicant's Signature____________________________                                         Date_____________

Parent or Guardian______________________________________                     Date_____________

Authorized School Official__________________________________________ Date_____________


Application
PLEASE PRINT AND SEND COMPLETED APPLICATION ALONG WITH REGISTRATION FEE TO:

TEXAS FARRIER APPRENTICE PROGRAM
152 RIOS
GOODRICH, TEXAS 77335