Event Timing: September 13-15, 2019. 9-5:30.
Event Address: 7400 Floydsburg Road, Crestwood, KY
Contact us at (502) 386-4715 or
Profession and any certifications
$425 New student (have not taken the complete course before) CHECK PAYMENT
$395 Repeat student (have taken the complete course before) CHECK PAYMENT
$440 New student (have not taken the course before) CREDIT CARD PAYMENT
$410 Repeat student CREDIT CARD PAYMENT
I would like to receive CEUs
If registering as Repeat Student, list date and place of previous course taken
Please include my contact information for shared lodging.
I would be interested in catered lunch options
Thank you for registering. An invoice will be emailed to you shortly. Please print the invoice and return with your check.
For those paying by credit card, after clicking SUBMIT, you will be given a link to submit payment.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service