Confirm Registration

Please confirm your registration by completing this form.

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Thank you for your completing the form.

Thank you for confirming your registration.

Name

Email

Phone number

Community (Where do you live?)

Select one to confirm you registration.

Yes, register me for the learning events/certificate listed in the email. No, do not register me. I do not want to take the training listed in the email.

If you want to register for something else, please tell us what!

Review our Guide to the Training Program and the current schedule. Then read each statement. Click each checkbox to agree.

I will participate in the scheduled conference calls.

I will complete the RLAs (required learning activities).

I will contact my trainer if I need some flexibility with the deadlines.

Where should we send your invoice. This may be your employer or yourself. Provide these details.

First name

Last name

Organization

Email

Phone number