Caregiver Training

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Online Registration Form

We request that you register for class, before attending class - if at all possible.

Please bring payment with you to class.  We accept checks, cash or money orders.

If a Facility will be paying for your class, and they will not be sending payment with you, they (a person of authority) must contact us in advance of class, to make payment arrangements; or your Certificate of Completion cannot be issued to you.

Quality Assurance Consulting
P.O. Box 966
Ridgefield, WA 98642

Phone (360) 887-4118

Contact Information

Registrar's Name & Title:
Reply email:

Phone Number:

State & Zip &

Course and Student Information

Course Description: 
Course Date: 
Course Location: 
Number of students:

Student Names:
(one name per line)

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Your confidentiality is assured. We will not sell, rent, or give the information you provide on this form to any other party.
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