Heartland Horseshoeing School
327 Southwest 1st Lane    Lamar, Missouri 64759

Enrollment Application

Name:______________________________________ Phone:____________________

Address:______________________________________________________________

City:______________________________ State:_________ Zip Code:_____________

Date of Birth:________________________ Sex:__________SS#:_________________

Occupation:_______________________________________

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    Thank you for your interest in Heartland Horseshoeing School.  As you are probably aware, there are a number of courses available.   Please check the line next to the course you are interested  in below, and indicate the date you wish to start:

The tuition is due and payable, in full, on the first day of class.
(tuition fee and schedule is subject to change without notice, please check with us)

PLEASE ENCLOSE A $250.00 APPLICATION FEE WITH THIS APPLICATION

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Applicants signature:_________________________________________ Date:__________

Guardians signature for minor applicants:__________________________ Date:__________

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