PRE-REGISTRATION FOR RE-CERTIFICATION CLASS ON
DATE: Tuesday, December 31, 2024 TIME: 12:00:00 AM LOCATION: Online Recertification ADDRESS: See info below on class date, Online, LA
To pre-register for this class, you MUST do the following things: Enter you contact information in the fields below AND Click the "Submit" button below.
Note: It is NOT REQUIRED that you print the "Pre-Registration Confirmation" that will display after you click the "Submit". However, if you do, you will have a reminder of the class date you selected and a checklist of what you need to be prepared for class.
*	FIRST NAME
*	LAST NAME
	DATE OF BIRTH
*	DAYTIME PHONE
	EMAIL (if available)
*Required fields