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Related Links
EQUINE DENTAL ASSOCIATION
INTERNATIONAL DIRECTORY
HORSE DENTISTRY JOURNAL
WORLD WIDE EQUINE, INC.


Welcome
to the
Academy of
Equine Dentistry.


To
apply
for our
program
please
fill out this
application
form.

Course Application Form:

Full Name
Business Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Cell Phone
FAX
E-mail
Gender
Age
Date of Birth
Select Preferred Course
Physical Condition
Spouse's Name
Emergency Contact
Emergency Contact Phone #
Allergies or Medical Problems (in case of emergency):

Number of years working with horses and types of horses:

Previous formal education and training:

Horse handling experience, courses, schools, etc:

Reasons for attending this course:

Two or more Professional references are required, one of which should be a veterinarian with whom you are affiliated, including address and phone:
(Equine dentists, veterinarians, horse trainers, farm owners, and or complementary therapists, etc.)

After submitting this form, you may call the office at 208-366-2315
with your credit card information.

Once an applicant is approved, a deposit is required.
Please call the Academy of Equine Dentistry for further information.


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THE ACADEMY OF EQUINE DENTISTRY, P.O. BOX 999, GLENNS FERRY, ID., 83623 USA
CONTACT US
PHONE:1-208-366-2315 FAX:1-208-366-2340

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