Administrator License Renewal Class Registration
Register for your upcoming Administrator License Renewal Class. Please complete all required fields to secure your spot.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization/Employer Name
*
Current Administrator License Number (last 4 digits only)
*
Preferred Class Session
*
Please Select
March 15, 2026 – 9:00 AM - 1:00 PM
April 12, 2026 – 1:00 PM - 5:00 PM
May 10, 2026 – 9:00 AM - 1:00 PM
Other (please specify in comments)
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Special Accommodations or Comments (if any)
Administrator License Renewal Class Fee
*
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Administrator License Renewal Class Registration Fee
Required fee for class registration.
$
120.00
Register Now
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