Registration Form
Please fill out the form below to register for a class. Payment is due by the close of registration unless otherwise specified.
Student Name
*
First Name
Middle Initial
Last Name
Parent/Guardian Name (if registering a child)
First Name
Middle Initial
Last Name
Mailing Address
*
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
*
example@example.com
Phone Number
*
Classes
*
Please Select
Boiler Operator Training- Dillon March 17-20 ($750 + $103 or $130 textbooks)
Phlebotomy Workshop April 1-12 ($400:Materials & training manuals included)
Drone Training TBD
Additional Comments
Submit Registration
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