EPATC Training Registration Form
Please complete the responses below to register for your selected training course.
*By completing this form, you authorize LaSorsa & Associates to accept full payment of the course registration fee.
*Payment must be made in full in order to complete the registration unless a payment plan has been authorized.
*Once your payment and registration form are received and processed, you will receive a confirmation notice.
*No refunds once confirmed – you may request to attend another course at a later date within 12 months. If hotel package is selected and registration is confirmed, deferring to another course date may add additional costs/fees.
*Course content, instructors and outlines are subject to change.
*LaSorsa and Associates is not responsible for any travel costs or other expenditures which may be incurred in connection with training.
*By submitting this form, you are declaring that everything entered herein is true and accurate to the best of your knowledge and agree that LaSorsa and Associates may withhold any fees paid for this course if it is found that information submitted in this application is incorrect or false.
NOTICE: This document is confidential. Information contained herein is protected under state and federal law. Unauthorized use, review, duplication, disclosure, or retention of this information is prohibited. Please contact us with any questions. Copyright © 2020 LaSorsa and Associates, LLC. All rights reserved