August Zoom Class

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * City:
• * Cell Phone:
• *

  Are you registering other participants

  • Yes
  • No
• If registering more than one person all cards will be emailed to the email address on the registration
   characters remaining
• *

  Which day are you registering for

  • Tuesday 12:30p.m. - 1:30p.m.
  • Friday 12:30p.m. - 1:30p.m.
  • Saturday Morning 9:00-11:00

• Fee

  Type	Fee
  Participant working in childcare only fee	$40.00
  Additional Participant working in childcare only feee	$40.00
  participants renewing or obtaining your CDA fee	$55.00
  Additional Participant renewing or obtaining CDA fee	$55.00
  BLS (Healthcare Provider)	$75.00

Participant Information

You may add a maximum of 50

Custom Information 1

• *

  Registration fee is non refundable, class can be rescheduled

  • I understand my registration is non refundable
  • I understand class can be rescheduled if necessary
• * What date are you registering for

Custom Information 2

• Please note all classes are scheduled in the Central Standard Time Zone

• Please note that cards will be sent by email only