Training & Events

Due to Covid attendance restrictions

at some locations you MUST pre-register by

Submitting the online form below

or Download Form & fax/mail/email:

To register for webinar click here

1/26/2022 Day 1: https://attendee.gotowebinar.com/register/1563349823431629327

1/27/2022 Day 2:  https://attendee.gotowebinar.com/register/7781861035179210000

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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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.

Δ

Due to Covid attendance restrictions

at some locations you MUST pre-register by

Submitting the online form below

or Download Form & fax/mail/email:

To register for webinar click here

1/26/2022 Day 1: https://attendee.gotowebinar.com/register/1563349823431629327

1/27/2022 Day 2:  https://attendee.gotowebinar.com/register/7781861035179210000

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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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.

Δ

MsRWA Members: $100 / Non-Members: $200

Download the Registration Form

Or submit the form below:

Due to Covid attendance restrictions at some locations MUST pre-register by

Submitting the online form below

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