Training Class Registration Form

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Training Class Registration Form
Trainer Last Name:
Trainer First Name:
Trainer Classification:  
Name of Organization, if applicable:
Address where training will be held:
City where training will be held:
Trainer Phone # (required):
Date of Training:
Time of Training (start and end time):
Trainer Certification Expiration Date:
Please verify that all fields are complete before you submit. If a submitted form is missing information your class may not be recognized by the DD Division.
Once your registration has been submitted, please be sure to read and print the confirmation page.
If you will need manuals for this class, send an email to with your address and the number of attendees estimated for this class. Manuals should be ordered at least 10 days prior to the class date to ensure delivery.