Registration

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Backflow Course Registration Form

Class material option is only available for students enrolled in backflow certification class. (Local pick up is available)

CLASS SELECTION BELOW Please complete Registration or Pre-registration for each student and course

Select Backflow Training Course(Required)

I request my training materials be shipped prior to attending class. $12 Flat Rate Shipping Charge

COMPANY CONTACT INFORMATION(Required)

Company Contact Name if other the Student - Type N/A If it does not apply

Company Contact Email Address - Type N/A If it does not apply(Required)

Company Contact Phone # - Type N/A If it does not apply(Required)

STUDENT INFORMATION(Required)

Student Title:

Student Name:(Required)

Company Name:(Required)

Address:(Required)

Address: City State ZIP / Postal Code

Phone(Required)

Cell(Required)

Student Email Address(Required)

Comments:(Required)

Name

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

By submitting this form you are granting Backflow 911 the right to charge your credit card for payment of services. Refunds will not be issued for students failing to successfully pass a written and an oral examination. You also agree that Backflow 911 is authorized to charge credit card for payment and that falsifying credit card payment information may lead to prosecution. If you fail to attend class you are still responsible for payment. If you cancel 10 business days before the first day of the class you will be issued a full refund, If you cancel within 9 business days of the first day of class, you will be charged for the class whether you attend or not. Backflow 911 Reserves the right to cancel any class and reschedule it to a later date of their choosing.

Please Read Before Registering for Training Courses

1) We strongly recommend students without a technical background in plumbing or other related fields to contact Backflow 911 before registering for the backflow certification course.
2) We encourage students to obtain their training materials prior to attending the backflow tester certification course.
3) If you are registering for someone else, please inform the person your register that training materials are available before class begins if payment has been received.

Payment Policy for the Backflow Training School

1) All payments must be made 7 days before class begins. Otherwise, unpaid students are not allowed to attend the class.
2) If any student wishes to pay for the school with a purchase order, approval to do so must first be granted by the Backflow 911
3) Payment must be received 7 days before the class begins; otherwise, the student's seat will be forfeited.
4) NO REFUND or CREDIT will be provided for any student that fails to attend the course, fails to attend the minimum state-required hours, or fails to successfully pass any course requirement exam.
5) Cancellation of the course within 10 days before the class scheduled start date will not receive a refund.