Pholia Farm Goat Herdsmanship Registration Form

Student Name________________________________

Address:___________________________________

City, State, Zip______________________________

Email Address_______________________________(for confirmation of deposit receipt)

Phone number_________________________________

Deposit amount________________________________

Pre-class Questionnaire

To help us customize your experience on our farm, please answer the following questions.

1. What your previous caprine experience? 

2. What area of care are you the most interested learning more about?

3. In what area of care do you feel you are the most qualified?

4. What kind of dairy goat operation is your goal?  (home dairy, show goats, commercial dairy, etc).

Class Requirements

Shoes/boots that can be sanitized prior to entering goat areas (or have never been worn around other livestock).  Wear long pants and bring gloves.  Bring a notebook and your lunch.

This class is not intended to substitute or replace the advice of a licensed veterinarian.  By signing below you are acknowledging that you will be observing and learning Pholia Farm's goat management practices, these may not be appropriate for every situation and are not intended to be all inclusive. 

 If you have any physically limiting condition, have a cold, flue, or other illness, then this class is not recommended.  By signing below you are releasing Pholia Farm and its agents from any liability while participating in any function related to this class while on the premises.

By signing below you are acknowledging having read and agreed to the above requirements and parameters.  Thank you!

Signed_______________________________________Date______________________

Print name_________________________________________

Send to:  Pholia Farm,  9115 West Evans Crk. Rd, Rogue River, OR  97537