Resources for Infant Educarers: RIE Foundations Registration Form

Please use this form to reserve your space in a Los Angeles RIE Center course by paying the full tuition of $940.

I would like to register for the following RIE Foundations course at the Los Angeles RIE Center: *

Tuition Refund Policy*

I understand and agree that if I cancel my registration 30 days or more before the course start date, I will receive a refund in the amount of $840; if I cancel less than 30 days before the course start date, I will receive a refund in the amount of $470.

Name*

FirstLast

Address*

Street AddressCityState / Province / RegionZip / Postal CodeCountry

Email*

Phone*

Work Information

Current Position, if any*

Organization or Company

Work Address

Street AddressCityState / Province / RegionZip / Postal CodeCountry

How long have you held this position?

Education

Name of most recent school attended*

Major/Minor*

Years Attended*

Certificate or Degree*

Previous School

Major/Minor

Years Attended

Certificate or Degree

How did you hear about the RIE Foundations course?*

Please let us know if you would like to pay online or by check. If by check, please be sure to mail your payment so that it's received two weeks prior to the course start date.*

I would like to pay by check
I would like to pay online after completing this form