Virtual Playing Field Maintenance Academy: October 15th, 2020
Name First: __________________________ Name Last: __________________________
Designation (CPSI, CPRP, etc.) ___________________________
Job Title: _________________________ Name of Organization: _____________________
Street Address: _____________________ City, State and Zip: _______________________
Registrant Cell Phone: _____________________ Registrant Office Phone: _______________
Registrant E-mail: _______________________ Supervisor's E-mail: __________________
Supervisor's Cell Phone (for those with shared computers): _____________________________
Do you want continuing education units? __________ If yes, we will contact you.
Do you require learning accommodations? __________ If yes, we will contact you about large print materials. Request due by September 15, 2020, or we may not be able to accommodate you.
Cancellation Policies: Cancellations before September 30, 2020 will be eligible for a refund. No refunds after October 1, 2020. We can place you in another class within the following 6 months. All cancellation requests must be submitted in writing by email to firstname.lastname@example.org
I certify by my signature below that I understand PlaySafe,LLC registration, cancellation and learning accommodation policies.
Signature here: _______________________________________
Registrations are accepted until full—we do have a capacity.
Please check applicable boxes
Individual Registration Fee—one link/one CEU/one Guidebook for self-printing provided: $95.00 o
Group Registration Fee of UP to 10—one link/one Guidebook for self-printing: $195.00* o (use a meeting room with good audio, a large screen and laptop for a group learning experience) *
*includes proof of training attendance and 0.3 CEU fee for up to ten
Payment method: o Credit Card o EBT o I will send a check
oPurchase Order # ___________________________Contact Name___________________________
We will send an invoice for direct credit card and EBT payments within 5 working days of receiving your e-mail.
Mail Checks and Registration form to:
PO Box 66056
Albuquerque, NM 87193
CEUs provided by:
Logistics for our Academy
or phone required. Be sure to charge your device.
is more fun if you have a camera and microphone and you type into the chat box.
- MDT Time Schedule
- October 15, 2020 - 7:45 to 8:00am
Check-in, Welcome & Use of Technology
- 8:00 to 11:30 pm Workshop
Day of Registration
Call 505.899.9532. We have technical requirements to send you in advance and you may not receive them prior to class. Registration is limited. Pre-register.