Class Registration

Section A. Student Information

How many Students are you registering? Select up to 5:

* (An entry is required in each space. If an item is "Not Applicable" type: N/A)

IMPORTANT! Please enter Student information exactly
as it should appear on Student's EPA Certification.
    1. Student One
      *1a. Name:  
      *1b. Email: (e.g.:  
      *1c. Company/Agency Name:
      *1d. Address (Home or Office):  
      *1e. City:  
      *1f. State:  
      *1g. Zip:  
      *1h. Phone #: (include AC)  
      *1i. Birth Date (mm/dd/yyyy)

Did you enter Student information exactly as it should be
printed on Student's EPA Certification? If not, please do so now.

Section B. Class Information
    1.* Select Class Date: (Make sure you select the correct time & location.)

    2.* If taking a Refresher, bring your original EPA Certificate or Card with you. EPA requires that we see proof that you completed the RRP Initial class.

    3. Enter Verification Code:      Verification code, please enter it << Verification Code

    4. Payment required to reserve seat. Your registration is not complete until payment has been received. You can pay by Credit Card on the next page. To pay by a method other than a credit card, complete your registration and then call (800) 648-5323.

    When you are ready to proceed, hit [REGISTER] once. Thanks!


Copyright © 2015 HomeSafe Environmental, Inc. All Rights Reserved.
    . .