If you need assistance filling out this form please contact Meghan Fredel at 608-758-4926.
After completing and submitting this form, you will be contacted by an Outreach team member. We will be happy to provide you with Short Course program details and to assist you with anything you need. At the end of this registration, form links are provided that will take you to necessary Health and Consent forms that need to be submitted to us via fax or mail.
Please mail or fax the completed packet to:Mail: Karly Clenney 1700 W. State St. Janesville, WI 53546