
Class Enrollment
Date/Time:
Monday, July 21, 2025 from 10:00AM to 12:30PM
Location:
11440 West Broad Street Glen Allen VA 23060
Class Price:
$130
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Please be assured that your information is protected and secure. We value your privacy and do not provide customer information to any third parties.
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Student Information
First Name:
Last Name:
Email Address:
Mobile Phone:
Mailing Address
Address 1:
Address 2:
City:
State:
Zip/Postal Code:
Country:
Additional Information
Would you like to receive text message class reminders?
By agreeing to receive SMS Account Notification messages, you agree to receive messages regarding class updates, schedules, and reminders at the number provided in the sign-up form. Consent is not a condition of purchase. You may reply STOP to unsubscribe.
Occupation
Employer or School Name
Are you registering on behalf of an employee?
Do you have a group of 6 or more people? We offer private group training with no additional cost to come to your workplace or home! Would you like more information on having a private class for 6 or more people at your location?
I understand that I am registering for a blended learning class and am required to complete the online training BEFORE the in-person hands-on class, and MUST provide proof of completion to the instructor when I arrive at the in-person class.
How’d you hear about us?
Are you at least 18 years old?
​To protect your privacy, we will only release information or a copy of your certification to those authorized below. Please provide the contact information of those authorized to receive a copy of your certification upon request.
State Professional Development ID number (Example MOPD, PA Keys, or N/A if not applicable):
Please include any comments or special requests here:
Terms and Conditions:
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All classes require payment in full to reserve your spot. Class sizes are limited to create a lower student/teacher ratio, please reserve your spot as early as possible.
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Incomplete online coursework will result in forfeiting your spot in the class.
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Due to class size limitations and preparation requirements, course fees are non-refundable for participants who do not complete the online portion in time.
However, you may attend a future scheduled in-person class once you complete the online training. Just email us when you're ready to reschedule.
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Access to the online coursework will be provided via email within 24hrs after completion of registration.
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