Please submit a separate form for each attendee.
EVENT INFO
Event Name*
Start Date*
MM slash DD slash YYYY
Total Cost

Total fees due for this attendee
ATTENDEE INFO
Attendee Name*
First Last
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
Certification #
Expiration Date
MM slash DD slash YYYY
SYSTEM INFO
System/Organization Name*
Mailing Address*
Same as Attendee address

Street Address City State ZIP Code
How would you like to pay?*
- I will pay online
- I will mail a check
- Free Training - No payment required
After submitting the form, you will be redirected to our payment page.
Email
This field is for validation purposes and should be left unchanged.

Categories: Wastewater Training

Advanced Board Member Management Training @ Lake Tiak O'Khata

Tickets

Jul 12 @ 8:00 am – 12:00 pm

To register for the this class you MUST fax/email/mail the registration below.

Categories: Board Training

Board Member Management Training @ Lake Tiak O'Khata

Tickets

Jul 12 @ 8:00 am – 5:00 pm

To register for the this class fax/email/mail the registration below.

Categories: Board Training

Jul

Wed

2022

Water Training-3R/3NR -Louisville @ Lake Tiak O'Khata

Tickets

Jul 13 @ 7:30 am – 3:30 pm

MUST pre-register by Submitting the online form below

Please submit a separate form for each attendee.

Training Registration

Please submit a separate form for each attendee.
EVENT INFO
Event Name*
Start Date*
MM slash DD slash YYYY
Total Cost

Total fees due for this attendee
ATTENDEE INFO
Attendee Name*
First Last
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
Certification #
Expiration Date
MM slash DD slash YYYY
SYSTEM INFO
System/Organization Name*
Mailing Address*
Same as Attendee address

Street Address City State ZIP Code
How would you like to pay?*
- I will pay online
- I will mail a check
- Free Training - No payment required
After submitting the form, you will be redirected to our payment page.
Name
This field is for validation purposes and should be left unchanged.

Categories: Water Training

Jul

Thu

2022

Backflow Recertification Training @ MsRWA

Tickets

Jul 14 @ 7:30 am – Jul 15 @ 4:00 pm

Registration Fee: $225

Download the PDF Registration Form

Or submit the form below:

Date*
MM slash DD slash YYYY
Choose the Class you wish to attend:*
Name as it Appears on License*
First Last
Exp Date (If Backflow Certified already)*
Employer*
Address*
Home Address City State ZIP Code
Email*
Cell/Home Phone*
Work Phone*
Fax
Preferred payment method
- Pay online w/credit card
- Mail check
- Other
Total
$0.00
Phone
This field is for validation purposes and should be left unchanged.

Categories: Backflow Training Certification Course

Water Training-3R/3NR -Louisville @ Lake Tiak O'Khata

Tickets

Jul 14 @ 7:30 am – 3:30 pm

MUST pre-register by Submitting the online form below

Please submit a separate form for each attendee.

Training Registration

Please submit a separate form for each attendee.
EVENT INFO
Event Name*
Start Date*
MM slash DD slash YYYY
Total Cost

Total fees due for this attendee
ATTENDEE INFO
Attendee Name*
First Last
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
Certification #
Expiration Date
MM slash DD slash YYYY
SYSTEM INFO
System/Organization Name*
Mailing Address*
Same as Attendee address

Street Address City State ZIP Code
How would you like to pay?*
- I will pay online
- I will mail a check
- Free Training - No payment required
After submitting the form, you will be redirected to our payment page.
Phone
This field is for validation purposes and should be left unchanged.

Categories: Water Training

Jul

Mon

2022

MsRWA Sponsored Water Certification Short Course – Class B/C & D @ Haraway Center - Northwest MS Community College

Tickets

Jul 18 – Jul 21 all-day

MsRWA Members: $250 / Non-Members: $325
Testing Fee: $104

MSDH Training Manual $45 (Includes S&H)

or download at www.msdh.ms.gov

Download the Information Packet & Registration Form

Or submit the form below:

If registering Online you MUST download the Exam Registration form below, fill out, sign and Upload/Fax/Email. This form is MANDATORY!

COMPUTER BASED EXAMINATION REGISTRATION FORM

Water Short Course

Date*
MM slash DD slash YYYY
Attendee Name*
First Last
County*
Address*
Street Address City State ZIP Code
Phone*
Fax
Email*
System/Company Name*
Which Water Certification Class will you be attending?*
Which Water Certification TEST will you be taking?*
Which date & location will you be attending?*
Water Certification Class Rates*
Select your membership type
- MsRWA System Member - $250
- Non-Member - $325 (This includes Individual Membership for 1-ONE Year) If the system you are employed with is a MsRWA all then employees are members
Testing Fee: See testing info on Memo from MSDH*
See testing info on Memo from MSDH
- Yes - Testing Fee $104.00
- No
Computer-Based Examination Registration Form*
Registration will not be complete without: Downloading, filling out, and signing this form. Then you MUST fax to: 601-857-2433 / email: mswra@msrwa.org / Upload
- Yes, I am Faxing my Exam Reg Form to 601-857-2434.
- Yes, I am emailing my Exam Reg Form to msrwa@msrwa.org
- Yes, I am Uploading my Exam Reg Form.
File
Max. file size: 64 MB.
Water Short Course Manual*
Would you like a manual Mailed or You can download a free manual at www.msdh.ms.gov ($45 includes S&H)
Total
$0.00
Name
This field is for validation purposes and should be left unchanged.

Categories: Certification Course Water Training

Jul

Tue

2022

Wastewater Training 2S/4NS-Diamondhead @ Diamondhead Community Center

Tickets

Jul 19 @ 7:30 am – 3:30 pm

MUST pre-register by

Submitting the online form below

Training Registration

Please submit a separate form for each attendee.
EVENT INFO
Event Name*
Start Date*
MM slash DD slash YYYY
Total Cost

Total fees due for this attendee
ATTENDEE INFO
Attendee Name*
First Last
Phone*
Email*
Mailing Address*
Street Address City State ZIP Code
Certification #
Expiration Date
MM slash DD slash YYYY
SYSTEM INFO
System/Organization Name*
Mailing Address*
Same as Attendee address

Street Address City State ZIP Code
How would you like to pay?*
- I will pay online
- I will mail a check
- Free Training - No payment required
After submitting the form, you will be redirected to our payment page.
Comments
This field is for validation purposes and should be left unchanged.