*Important note: If you are registering students for a CMA or CNA class in Kansas, please have specific course information ready. (i.e., Course Approval Number and/or Clinical Site Location) If you do not have a specific course DO NOT fill out the form below, please use this link: Click Here
**Student Name can not be the same as the Facility Contact Name**
Your total is ${subtotal}. Our Accounting department will email an invoice soon!
Your total is ${subtotal}. Click submit to review your order and pay.
By clicking Submit, I acknowledge my responsibility for the class fees of the students listed below on behalf of this facility. Additionally, I commit to completing the refund/withdrawal form in case a student needs to be withdrawn or a refund is required. Failure to submit this form will result in continued financial responsibility for the student's fees.