Registration Form

Registration

Please complete the form and mail in your payment to the address below. If you would like to pay by credit card (Visa or MasterCard) please call 559.278.2352 after you have submitted your registration below.

The deadline to register is October 6th, 2017.
The information on this form will be used to generate name badges.

I understand the course begins from 9:00 am on Oct 23 and ends by 4:00 pm on Oct 26,2017 and that my presence is required at classes in order to receive credit.

Payment Information

$
Offline Payment