WAITING LIST FORM

WAITING LIST FORM
This form is a request to be placed on our waiting list for any days you are hoping to attend which has been blocked off due to being filled.

THIS DOES NOT GAURENTEE YOU A SEAT.

We may contact you the day of the class if we find out there is an opening, due to a no call/ no show:

* You do not have to attend that class

* Do not call us the day of the class to see if there is a seat available

WE WILL CONTACT YOU BEFORE 9:00PM THE NIGHT BEFORE THE CLASS IF SEATING BECOMES AVAILABLE. WE MAY TEXT/EMAIL LATER THEN THAT IF AN EMERGANCY OPENING HAS HAPPEND. DELAYED RESPONCES IS UNDERSTOOD DUE TO THE HOUR OF OUR TEXT/EMAIL.

THIS IS NOT A REGISTRATION, AND THERE IS NO GUARENTEE THAT SEATING WILL BECOME AVAILABLE.
Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
CNA/HHA CERTIFICATE #*
Experation Date*

MonthDayYear
E-mail
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Waiting For Date *

MonthDayYear
Waiting For Date

MonthDayYear
Waiting For Date

MonthDayYear
Comments
Should be Empty: