Select the course you would like to attend:

       

Course Date:  

City & State Offered:  



REGISTRATION INFORMATION:

Agency:

Name:  

Address:  

City:   

State:                                                     Zip:

Phone:  

Email:  

    Please check here if you would like to be made aware of specials and other training classes as they become available in your area.  



METHOD OF PAYMENT:

  Pay at the door.             

  Bill Me (agency P.O. number  required)  



Additional Comments:






Classes begin at 8:00 am and conclude at 5:00 pm daily.  All classes are limited in size to insure proper student / teacher ratio.  Space can only be reserved upon receipt of course registration.  In the event of student cancellation within 10 days prior to the class a full refund will be made.  Cancellations made within less then 10 days notice, tuition will be refunded minus $75.00 or the tuition can be credited to another DDS course, alternative course date, or student.