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
	_____	Growth & Development
	_____	Functional Anatomy
	_____	Exercise Physiology
	_____	Equine Behaviour
	_____	Equine Genetics
	_____	Stewardship of the Equine Environment
	_____	Equine Business Management
	_____	Marketing & Communications in the Equine Industry
	_____	Finance & Risk Management
	_____	Equine Journalism
	_____	The Equine Industry
	_____	Equine Event Management
TUITION FEE - Early Bird $495.00 CDN per course, Regular Tuition $549.00 CDN per course
Course offerings vary with each semester. For current course offerings please contact the Office of Open Learning or visit www.EquineStudiesDiploma.com

PAYMENT INFORMATION:

Tuition costs: $ __________

Equine Guelph Donation: $ __________

OOL Bursary Donation: $ __________

Total Enclosed: $ __________

	Cheque/Money Order *(Payable to the University of Guelph)
	Visa
	Master Card
	American Express

	Card #_____________________________
	Cardholder: ____________________________
	Expiry: _____ /_____
	Signature: _____________________________

Centre for Open Learning and Educational Support Bursary:

Staff & friends of the Centre for Open Learning and Educational Support have established and contribute annually to a bursary fund to assist students in need. We invite you to consider making a contribution to this fund. If you wish, add your donation amount on the registration form. For further information visit: www.open.uoguelph.ca/bursary

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