Rutgers Safety Course Registration (9/5/23)

Thank you for your interest in attending a Rutgers Safety Course on 5/4 from 6:30-9:30pm. Please fill the form below to completion. (Registration is not complete until payment and form are submitted). 
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Full Name *
Email Address *
Phone Number *
League Affiliation *
In order to register, please pay for this course using this link: PAYMENT LINK (click here) 

Once you have completed payment, please include your confirmation number below!
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