Bus Training - Registration Form

Child Passenger Safety on Buses

This is an interest list for upcoming classes. We will send the official registration link when it becomes available. This class is ideal for school bus drivers, bus monitors, special education teachers/paras, early childhood education personnel, Head Start, child care providers, car seat technicians, principals and transportation personnel.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Agency*
Are you a Child Passenger Safety Technician?*

NoYes

Registration fee is $20 - Lunch will be provided.

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Dietary Restrictions - Lunch will be provided
A confirmation email will be sent from JotForm along with your receipt of payment from Altru Health Foundation. A reminder email with details will be sent the week of class.

If for some reason you need to cancel your registration, please do so at least 1 week prior to the class date by calling 701.780.1489 for a full refund. If it is less than 1 week before the class date, we will be able to issue a 50% refund. Cancellations less than 48 hours before the start of class will not be issued a refund.
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Child Passenger Safety on Buses