Course Registration Form

March 23rd, 2026 ServSafe Class and Exam
Lapeer County Health Department

The Class and exam is $150 (additional fee for credit card). Your registration is not confirmed until payment is received. Please contact the office at 810-667-0392 to stop by to arrange payment.

Question Title

* 1. Student name:

Question Title

* 2. Email:

Question Title

* 3. Phone:

Question Title

* 4. Address:

Question Title

* 5. Company name

Question Title

* 6. Type of ServSafe interested in:

ServSafe course and Exam

ServSafe Exam

Question Title

* 7. Do you require any special acommodations? (alternate language exam, visual disability, ect.)

Yes

If yes, please explain accommodation being requested.

Course Registration Form

March 23rd, 2026 ServSafe Class and ExamLapeer County Health Department

Question Title

* 1. Student name:

Question Title

* 2. Email:

Question Title

* 3. Phone:

Question Title

* 4. Address:

Question Title

* 5. Company name

Question Title

* 6. Type of ServSafe interested in:

Question Title

* 7. Do you require any special acommodations? (alternate language exam, visual disability, ect.)

March 23rd, 2026 ServSafe Class and Exam
Lapeer County Health Department