Register for An Event

Facility Type(Required)

Membership Status(Required)

Member

Non-Member

Note: Your Membership Status is separate from the one-time Facility Registration Fee. In some instances, you may have paid the Facility Registration Fee but are still Non-Members.

Facility Name(Required)

Has your facility paid the one-time facility registration fee and have previously trained with us?(Required)

Yes

Has your facility paid the one-time facility registration fee and have previously trained with us?(Required)

Yes

Event(Required)

Facility Leader Information

This is the email/name of the facility leader, not any of the attendees. If you are also joining the class, please add the same information on the attendee list below.

Facility Leader Registering(Required)

First Last

Facility Leader Email(Required)

Add Attendees Information below to register

Each attendee must be listed with individual email addresses.

Employees

To register yourself for the event, please include your information below as well.

$40 per employee + $500 facility registration (if applies)

Name	Email	Actions

There are no Employees.

Employee Registration

Price: $0.00

Facility Registration

Price:

Employees

To register yourself for the event, please include your information below as well.

$70 per employee + $1000 facility registration (if applies)

Name	Email	Actions

There are no Employees.

Employee Registration

Price: $0.00

Facility Registration

Price:

Employees

To register yourself for the event, please include your information below as well.

$25 per employee + $150 facility registration (if applies)

Name	Email	Actions

There are no Employees.

Employee Registration

Price: $0.00

Facility Registration

Price:

Employees

To register yourself for the event, please include your information below as well.

$40 per employee + $250 facility registration (if applies)

Name	Email	Actions

There are no Employees.

Employee Registration

Price: $0.00

Facility Registration

Price:

Total

Payment Option(Required)

Credit Card

Invoice Me

Address(Required)

Street Address City State ZIP Code

Payment Method

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name