Registration Form Old

To Register for one of our courses, fill out the form below, click Submit, 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

For our Course Cancellation and Refund Policy, click here.

* indicates required field

First Name:*

Last Name:*

Email:*

Re-enter Email:*

Home Street Address*

City*

State:*

ME VT NH RI

Zip:*

Home Phone Number*

School Name*

School District*

Alternate Email Address

Course Title*

Course Location*

Course Start Date*

To complete the registration process, please indicate method of payment*

Credit Card (via Paypal) Personal Check Purchase Order from School District

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