Food Service Sanitation Exam Registration

Food Service Sanitation Exam Registration
Register to take the Food Service Sanitation Certification Exam. Please provide accurate information to ensure your registration is processed smoothly.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Exam Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Select Exam Session
Have you previously taken a food safety or sanitation course?
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any allergies or medical conditions we should be aware of (if none, write 'None').
Signature (Please sign to confirm your registration and agreement to exam policies)
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