Registration Form

To Register for one of our courses, fill out the form below, click Send,
then choose one of the payment options listed.

If you prefer, you can print a PDF registration form and mail it in with your check.
Click here for the mail-in Registration Form Template 7:01:18.

For our Course Cancellation and Refund Policy, click here.

TUITION COSTS:

$790.00 (4.5 Continuing Education Units)

First Name (required)

Last Name (required)

Your Primary Email (required)

Confirm Your Email

Home Phone Number (required)

Home Street Address (required)

City (required)

State (required)

Zip (required)

School Name

Your Position

School District

Course Title (required)

Course Location (required)

Course Start Date (required)

I'm taking this course for (required)

To complete the registration process, please indicate method of payment