E.B. Cape Center, A Corporate University
4501 Leeland, Houston, Texas 77023, Phone: 832-395-4900
CITY OF HOUSTON, HOUSTON PUBLIC WORKS, Safety Section
CLASS REGISTRATION FORM
Payment summary
Flagging Training Course
Registration fee per person
$150
Attendees
Number of attendees
0
Total (USD)
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Company name / Your name
*
Valid company name is required.
Company phone number
*
Valid phone number is required.
Email
*
Please enter a valid email address for updates.
Address
*
Please enter your address.
Address 2
(Optional)
State
Choose...
Texas
Please provide a valid state.
Zip
*
Zip code required.
Class date
*
Choose...
9/19/2019
10/3/2019
10/17/2019
11/14/2019
12/12/2019
Valid Class date is required. (mm/dd/yyyy)
Class time
*
Choose...
8:00 AM
Valid class time is required.
Number
*
4-digit ID is required.
Name
*
Name is required.
Email
*
Valid email is required.
Phone number
*
Valid phone number is required.
Vest Size
*
Choose...
5XL
4XL
3XL
2XL
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
ID is required.
Name is required.
Valid email is required.
Valid phone number is required.
Choose...
5XL
4XL
3XL
2XL
\
XL
L
M
S
Valid size is required.
NOTICE: City of Houston doesn't refund the registration fee if the participant doesn't attend the class in the date scheduled.
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