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AGC's Virtual PRE-K CLASS Observation Training
Registration Form
Please fill out the questions below and push submit to register for AGC's PRE-K CLASS Observation Training
OK
*
1.
Name(s)
(Required.)
2.
Name of Program
3.
E-Mail Address (to receive confirmation):
4.
Personal Mailing Address
Street
City, State
Zip Code
5.
Contact Information:
Home:
Cell:
Work:
6.
Type of Program:
Public School
Administrator
Family Child Care
Day Care/Child Care (Teacher & Support Staff)
Program/Center (Director/Administrator)
Head Start/Early Head Start
Home School Parent/Co-Op
Private School
Other (please specify)
7.
Payment
Total Due:
$725 (per person)
includes all training materials and course fees
Credit Card Number:
Expiration Date:
CVC Code:
Zip Code:
Name on Credit Card:
To pay using check or cash please call AGC at (706) 868-0683 or visit our training center.
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