PHC Enrollment Form

First Name

Last Name

Street Address

City

State

Postal Code

Country

Email Address
* Be sure this is correct as login information is sent to this email.

How long have you been around horses? 1 to 5 years 6 to 10 years 10 to 15 years 15 to 20 years more than 20 years

Do you own horses? Yes No

Who Cares for your horses hooves? Farrier Natural Trimmer DAEP Other I do

How often do you have your horses hooves trimmed?
every 4 weeks every 8 weeks every 12 weeks twice a year once a year

Do you ride English or western? English Western

How do you stable your horse(s)? Public Boarding Stable Private Boarding Stable My own yard

What type of turn out does your horse have?
daily less than 2 hours daily 2-6 hours daily 6-12 hours daily more than 12 hours 24 hour turn out very limited turn out

I would like to receive email updates from the PHC. Yes No

User name and Password are being sent to your email. OK

* If you do not receive an email within 60 minutes, please resubmit.