2. Alcohol Awareness -IN PERSON CLASSES ONLY Class Sign-up. WE NO LONGER OFFER VIRTUAL CLASSES!
4. First Name*
5. Middle Initial*
6. Last Name*
8. Street Address*
9. City*
11. State*
12. Zip Code*
13. Phone Number*
    xxx-xxx-xxxx
14. E-Mail Address*
16. Name of Establishment/Organization
17. Special Note:

    A government issued ID is required to attend the class. Please bring your driver's license,  identification card, military ID or US Passport.

18. Class Date*
    -- Select One --IN-PERSON-Tuesday, June 14, 2022 at 5:45pmIN-PERSON-Saturday, June 25, 2022 at 9amIN-PERSON- Saturday, July 9, 2022 at 9amIN-PERSON- Tuesday, July 19, 2022 at 5:45pm

    You will receive an email confirming your IN PERSON CLASS registration one week prior to the class date and time you have chose. **SCROLL TO THE BOTTOM OF THE PAGE TO HIT SUBMIT FOR THE REGISTRATION TO COMPLETE** PAYMENT LINK IS SEPARATE

    **WE NO LONGER OFFER VIRTUAL CLASSES**

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20. 1. Receive an email copy of this form.
21. Email address

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22. Submit

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