Alzheimer's Disease and Dementia Care Seminar Sign Up Form
Name
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First Name
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Email of Person Taking the Course
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example@example.com
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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Certification/License Type
Ex: RN, LPN, CMA, CNA, MSW
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Will you need CEUs for taking this course?
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Course Dates You Are Signing Up For
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Please Select
May 6th and 7th
May 13th and 14th (EVENING CLASS)
Signups close 24 hours before the start of class. You will not be admitted if attempting to sign up after this deadline.
Certification fee is separate and is $180 to become certified.
*
I understand
CEUs are a separate fee and will be $49. Only licensed nurses are eligible for CEUs.
*
I understand
For the virtual course, I am required to provide my own laptop or netbook and have high speed internet to access the class. I also understand that I am required to have a working camera and that I will need to appear on camera for the duration of the course in order to receive full credit.
*
I understand
I understand that an e-book will be provided as my student handbook in PDF form and that I will have a way to access it during the class.
*
I understand
There is a $100 cancellation fee if I cancel my registration.
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I understand
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Alzheimer's disease and dementia care seminar
Alsheimer's Disease and Dementia Care Seminar
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