Sunshine Coast Farrier/Blacksmith Academy.

APPLICATION FOR ENROLMENT

Name:__________________________________________________________________ Address:________________________________________________________________
State__________ Post Code_________
Phone (home): ________________
Phone (mobile): ________________

Date of Birth: ______ Sex: ______

Occupation (If relevant): ____________________________

Level of education completed:_____________________________________________ ________________________________________________________________________ ________________________________________________________________________
Experience with horses or horse shoeing__________________________________________________________________ ________________________________________________________________________
Reasons why you wish to attend the academy:_________________________________________________________________


How did you learn about this course:___________________________________________________________________

Emergency Contact:______________________________________________________
Referee (name):_________________________Phone:___________________________
My first choice of course dates:____________________________________________

My second choice of course dates:__________________________________________

My third choice of course dates:___________________________________________

I will be staying in academy accommodation. (Please tick) Yes_____ No_____

Option 1 , Tuition & Mobile Shop Tool Kit (Please tick) ______ Total cost $9900  including GST

Option 2, Tuition Only (Please tick) ______Total cost $5500   including GST


Enclosed is my $300 deposit for tuition I understand that half of the tuition is due six weeks
before the course starts and the balance of the tuition fee is due on or before the first day of class, 
I also understand that if I have chosen option 1  the  payment for the Mobile Tool Kit is due six weeks
before class. I understand that if I cancel this application, once accepted, I need to cancel within
two weeks of recieving my letter of acceptance dates, or I forfeit the deposit. I also understand
that tuition payment is non refundable (dates can be changed if a medical certificate is presented).
I fully assume all responsibility for any accident or injury, which I may suffer during the
period  of enrolment as well as any compensation time allowed by the academy for any reason. 
I further release and discharge the academy, its owners and operators, horse owners
and owners of the land upon which any classes are taking place,
in all manner of suits, action and causes of action. 
    
 I have read and fully understand this agreement.

Applicants Signature__________________________________ Date____________

Witness Signature_____________________________________ Date____________