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
Email
This field is for validation purposes and should be left unchanged.

Categories: Certification Course Water Training

MSDH Sponsored Water Certification Short Course – A, B,C & D @ Biloxi Civic Center

Sep 12 – Sep 15 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

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!

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
Phone
This field is for validation purposes and should be left unchanged.

Categories: Certification Course Water Training

MsRWA Sponsored Water Certification Short Course – Class D ONLY @ Bancorp South Arena

Oct 25 – Oct 27 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

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!

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
Comments
This field is for validation purposes and should be left unchanged.

Categories: Certification Course Water Training

MsRWA Sponsored Water Certification Short Course – Class B/C ONLY @ MsRWA Office

Nov 7 – Nov 10 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

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!

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
Email
This field is for validation purposes and should be left unchanged.