Emergency Contact Information
Disclaimer, terms and agreement.Registration does not guarantee the participant a space in this course, but puts the participant on an active wait list.
Once payment is received in-full, the participant will be awarded a space in the course if seats are remaining.
All information must be completed and returned to NCEHSOPPO Box 489Efland, NC 27243
**MUST BE POSTMARKED AT LEAST 7 CALENDAR DAYS FROM THE FIRST DAY OF THE COURSE IN ORDER TO BE REGISTERED.**