Insulin Administration Class Schedule and Registration

Insulin Administration Class Schedule and Registration

Insulin Administration classes are generally held the day following our L1MA classes for ease of getting needed certifications completed as quickly as possible. Sessions start at 9am at our Desloge store conference room (1131 N Desloge Drive, Desloge, MO 63601, basement entrance). PLEASE NOTE: These classes do have limited space. If a class is full at the time of your registration, your payment will be refunded, and you will need to sign up for the next class session.
Name*

First NameLast Name
Address*

Street Address

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Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
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Birthdate

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Date
Name of facility employed with:*
Name of supervisor or facility administrator:*

First NameLast Name
Add attendee(s) (multiple attendees must be employed by same facility)*
Please select the date of the class you are registering for:*
Choose your appropriate class category:
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Insulin Administration class for MALA member
$20.00 Quantity

Insulin Administration class for non-MALA member
$40.00 Quantity

Total

$0.00
Please Note: Payment by check must be presented to your instructor for all attendees when you arrive for your class. (Make checks payable to: Parkland Pharmacy.)
Special Notes/Questions/Concerns:
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