EmailMe Form - TRECS Registration 2025

Legal First Name *

Legal Last Name *

Nickname

Date of Birth *

Street Address *

Address line 2

City *

State *

Zip *

Phone *

Email *

PRE-LICENSE (60-HOUR)

Event Time

Morning Class (8:00am)

Evening Class (5:30pm)

COURSE FOR NEW AFFILIATES (30-HOUR)

Event Time

Morning Class (8:00am)

Evening Class (5:30pm)