HORSESHOEING COURSE APPLICATION Please enable JavaScript in your browser to complete this form.NameFirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone No.Alternate Phone No.EmailBirth DateAgeSexMaleFemaleHeightWeightCivil StatusSingleMarriedWidowedDesired Class DateSeptember 2, 2024 - October 11, 2024November 4, 2024 - December 13, 2024January 6, 2025 - February 14, 2025March 3, 2025 - April 11, 2025May 5, 2025 - June 13, 2025July 7, 2025 - August 15, 2025September 1, 2025 - October 10, 2025November 3, 2025 - December 12, 2025DormYesNoTransportationGI BILL / OTHER SCHOLARSHIPSEducational Level:Disabilities (if any)Where did you hear about us? *Social Media (Facebook, Instagram, Tiktok, etc.)Word of mouthOthers (pls specify)Others (pls specify)Enrollment FeeCredit Card Type *VisaMastercardDiscoverAmerican ExpressCard Holder Name *Name on CardCard Number *Card NumberExpiry Date *Security Code *I have fully read and understand this Agreement. *By filling up the fields above I do authorized Oklahoma State Horseshoeing School to charge this card in the amount ($150) specified on this agreement.EmailSubmit14701