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

Question Title

1. Name(s) (Required.)

Question Title

2. Name of Program

Question Title

3. E-Mail Address (to receive confirmation):

Question Title

4. Personal Mailing Address

Street

City, State

Zip Code

Question Title

5. Contact Information:

Home:

Cell:

Work:

Question Title

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)

Question Title

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.

AGC's Virtual PRE-K CLASS Observation Training

Registration Form

Question Title

* 1. Name(s) (Required.)

Question Title

* 2. Name of Program

Question Title

* 3. E-Mail Address (to receive confirmation):

Question Title

* 4. Personal Mailing Address

Question Title

* 5. Contact Information:

Question Title

* 6. Type of Program:

Question Title

* 7. Payment Total Due: $725 (per person)includes all training materials and course fees

1. Name(s) (Required.)

2. Name of Program

3. E-Mail Address (to receive confirmation):

4. Personal Mailing Address

5. Contact Information:

6. Type of Program:

7. Payment
Total Due:
$725 (per person)
includes all training materials and course fees