Please enable JavaScript in your browser to complete this form.Student name *FirstLastStudent email *Student cell phone number *Student home address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCompany/Organization nameCompany addressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCompany primary contact personFirstLastCompany primary contact person emailCompany primary contact person phone numberPlease fill in all required * information to register. (1) Then check your choice of course "type" below or upcoming course date. (2) Press the Submit button to send your registration. You will then be taken to the product page. (3) Select your preferred course to add to the cart and pay. Your payment MUST accompany your registration. Your seat in the course is not confirmed without both registration and payment. Once paid, all students will receive (within 12 hours) an emailed student course confirmation letter and accompanying course materials. This registration is for (Select one category type): *An on-line course and examA remote/hybrid/pre-recorded course and examAn In-person classroom course and examOtherThe following IN-PERSON classroom dates are open for registration. Click the dropdown list to see all available dates. Select one:CLOSED Tuesday, December 17th, 2024. Coon Rapids, MNThursday, January 9th, 2025. Coon Rapids, MNThursday, January 30th, 2025. Coon Rapids, MNTuesday, February 4th, 2025. Coon Rapids, MNWednesday, February 26th, 2025. Coon Rapids, MNWednesday, March 19th, 2025. Coon Rapids, MNMonday, March 31st, 2025. Coon Rapids, MNNote: *All In-person classroom Certification courses start at 8:30 am and are 8 hours including the examination. *Exam only (in-person) sessions are 2.5 hours and include a 30 minute intensive review. *If you have selected the On-line course with in-person exam. please contact me with the classroom date you wish to test. *All Online, remote hybrid and pre-recorded classroom courses are available 24/7. Submit my registration take me to products