PFL 420 Registration

PFL 420 Registration Form

Fill out the form carefully for registration
Pick Class Date. Meeting Times are 8:30a-5:30p on all class offerings and all classes are offered simultaneously in person while streamed online. There is a limit of 6 spots available online. In-person students attend class at 430 Connell Rd, Valdosta, GA 31602. *
Deadline for class registration is 4p on the day before class. Registrations received after 4p on the day before the class will not be accepted.
Student Name*

First NameMiddle NameLast Name
Please indicate how you would like to attend the class. If you do not see an online option here, there are no more online spots available for our upcoming class date.*

In PersonOnline via Microsoft Teams Video
Who is your probation officer?   *

Do you give permission to Redirect Counseling Services to send verification of your enrollment in this program, as well as completion or termination of this program to your Probation Officer?
Signature
Birth Date*

MonthDayYear
Driver's License Number or SSN*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
By signing below I agree to the terms and conditions.*

Clear

My Products*

PFL 420 Class

PFL 420 is an 8 hour class, taught in-person, that focuses on high risk behaviors related to marijuana use.

$200.00

Total

$0.00

PFL 420 Registration Form