TRANSPORTATION SAFETY TRAINING PROGRAM
Open Class Registration Form


Please complete a separate form for each person attending.
We cannot accurately register you for the class that you have selected if you do not click the submit button at the bottom of this page
Should you have problems with this process, please call us (877) 372-8904

Field marked with * indicates a required field.

***Non-members are expected to have paid for the scheduled training prior to class participation***

***Effective March 2, 2009***

Agencies will be invoiced for ALL employees registered for "Open" classes. 

Exceptions will be made when a representative from the organization calls to cancel registration BEFORE the class begins.

Name:	Title:
Agency:
Address:
City:	State: Zip:
Phone: Ext:	Fax:
Cell:	Home Phone:
* E-mail:	Submitted by:

Place:	Arkansas Transit Association Transit Safety & Resource Center 620 West Broadway North Little Rock, AR 72114 View Map
Voice:	(501) 372-8900
Toll Free:	(877) 372-8904
E-mail:	info@arktransit.org

Indicate each class that the person listed above will be attending.

	TOPIC	Materials Fee
	Passenger Assistance Monday, September 14, 2009 10:00 AM - 1:00 PM	$10.00 (Member rate) $30.00 (Non-member rate)
	Drug & Alcohol Training for Supervisors Monday, October 5, 2009 10:00 AM - 1:00 PM	$10.00 (Member rate) $30.00 (Non-member rate)
	Coaching the Experienced Driver II Monday, October 19, 2009 10:00 AM - 1:00 PM	$15.00 (Member rate) $35.00 (Non-member rate)
	Child Passenger Safety Monday, November 9, 2009 10:00 AM - 3:00 PM	$0.00 (Member rate) $20.00 (Non-member rate)
	DHS/Developmental Disabilities Services Transportation Training Thursday, November 12, 2009 9:00 AM - 4:00 PM	$40.00 (Member rate) $60.00 (Non-member rate)
	Passenger Assistance Monday, November 16, 2009 10:00 AM - 1:00 PM	$10.00 (Member rate) $30.00 (Non-member rate)
	Train-the-Trainer (STARTS) Thursday, December 3, 2009 9:00 AM - 4:00 PM	$50.00 (Member rate) $70.00 (Non-member rate)
	Drug & Alcohol Training for Supervisors Monday, December 7, 2009 10:00 AM - 1:00 PM	$10.00 (Member rate) $30.00 (Non-member rate)
	DHS/Developmental Disabilities Services Transportation Training Thursday, December 10, 2009 9:00 AM - 4:00 PM	$40.00 (Member rate) $60.00 (Non-member rate)
	Coaching the Van Driver II Monday, December 14, 2009 10:00 AM - 2:00 PM	$15.00 (Member rate) $35.00 (Non-member rate)

***Non-members are expected to have paid for the scheduled training prior to class participation***

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