Resources for Infant Educarers: RIE Foundations-Registration Deposit Form

Please complete this form to reserve your space in a course at the Los Angeles RIE Center by making a tuition deposit of $470. The remaining balance of $470 will be due on or before the first day of the course.

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 full refund of my $470 deposit; if I cancel less than 30 days before the course start date, I will forfeit my deposit amount.

Name*

FirstLast

Address*

Street AddressCityState / Province / RegionZip / Postal CodeCountry

Email*

Phone*

Current Position, if any*

Organization or Company

Work Address

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

How long have you held this position?

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?*