Group RegistrationUse this form to register 5 or more people for a single workshop. Please remember to include First and Last Name, License No., and Email address for each attendee. Primary Contact Name * First Name Last Name Primary Contact Email * Primary Contact Phone * (###) ### #### State Licence No. * CPCS No. Name & Date of Desired Workshop Group Attendee Information * Please include first name, last name, license number and email for each attendee Thank you for the message! I will be in touch shortly with a group coupon code to be used at checkout.
