Medication Aide Training Program           
Simple and Easy 2 Step Registration!

1.  Fill in the form below and check off which class you prefer
2.  Make your $50 deposit using PayPal 









 



  
First Name
Last Name
Email Address
Phone
Address
City
State
Zip Code
Comments
Feb 25-27 9am-5pm
Apr 28-30 9a-5p
 
Please fill out this form to register for class

The 3 day course costs $150.00
plus $10 for the Student Manual

Guarantee your seat with a non-
refundable $50 deposit.

Payment Options










Upcoming Classes:

February 25 - 27, 2012
Sat, Sun and Mon  9a - 5p
                OR
April 28 - 30, 2012
Sat, Sun and Mon 9a - 5p




Classes are located at
Caring for Life,LLC

618 Court St.
Jacksonville, NC

Registration and Fees
Med Aide Training Program Online Registration
Please place an "X" next to the box of the class you would like to attend.
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