The Equine Science Certificate The first Canadian Equine Science Certificate program offered online!  
  Home About Our Team Courses Register Scholarship Equineware FAQ Contact Us  

Printable Registration Form

Please make copies if applying to more than one course – USE ONE FORM FOR EACH COURSE!

PERSONAL INFORMATION

   
First Name: _________________________

Last Name: _________________________

Address: ________________________

City: __________________________

Province / State:________________

Postal Code: _____________

Country: _________________________

Home Phone: (___)________________

Home Fax :(___)__________________
Company:__________________________

Address:___________________________

City: ______________________

Province / State:_____________

Country:________________________

Postal Code:____________

Title/Position:______________________

Business Phone: (___)________________

Business Fax: (___)__________________

Email:___________________________
     
COURSE(s) - (please use one page per course registration)
Semester Year Course
W  S  F    
_____ Management of the Equine Environment
_____ Health & Disease Prevention
_____ Equine Nutrition
_____ Equine Functional Anatomy
_____ Growth & Development
_____ Equine Behaviour
_____ Exercise Physiology
TUITION FEE - $495.00 CDN per course
Course offerings vary with each semester.
For current course offerings please contact the Office of Open Learning or visit www.EquineScienceCertificate.com

BACKGROUND INFORMATION

Current Education Level:

Less than High School High School University or College


Please select the category which best describes you:

Pleasure Rider Farm, Ranch or Stable employee
Breeder   Competitor
Owner   Other_____________________

How many years in the industry?_____

How did you learn about the equine certificate? _________________________________________


PAYMENT INFORMATION:

Tuition costs: $ __________

Equine Guelph Donation: $ __________

OOL Bursary Donation: $ __________

Total Enclosed: $ __________


Cheque/Money Order
*(Payable to the University of Guelph)
Card #_____________________________
Visa Cardholder: ____________________________
Master Card Expiry: _____ /_____
American Express Signature: _____________________________


Protecting Your Privacy:

We are committed to protecting your privacy. The personal information collected on this form will be used for registration purposes, for creating learner profiles, and for sending you relevant Open Learning information we believe may be of interest to you. For further information or to find out how to opt out of receiving future Open Learning information, call us at 519 767-5000 or visit: www.open.uoguelph.ca/privacy

Copyright © Office of Open Learning, University of Guelph Tel: 519 767-5000