Invoicing Registration

Course Application
Please use this form for invoicing

First name

Last name

Phone

Affiliated Facility Name

Affiliated Facility Address For Invoicing

Registrants Home Address

By selecting this box I agree to the course attendance terms. The following must be met to pass the course and receive the certificate of completion. Students must be in the virtual Zoom classroom from 9 – 1 ET Monday – Friday. Students must have their computer camera turned on making the student visible, attentive to the lecture and actively engaged in learning. HFA and RCA students must score a 75% or higher on the final exams (2) administered on the last day of the RCA course to pass the RCA portion of the course. HFA students must score a 75% or higher on the final HFA final exams (2) administered on the last day of the course.

Thanks for registering to our event. Upon payment of your invoice you will be confirmed for the course.

Course Application Please use this form for invoicing

Course Application
Please use this form for invoicing