Agency/Group Registration Form for OCAEYC Learning Management System (LMS) powered by Child360
Please complete this form if you are purchasing 'bulk' LMS registrations for your employees. All employees must complete the Individual Registration Form (https://forms.gle/nykUm8Q9kJrxJUPc7) separately. This Agency Registration form will be used for invoicing purposes only.
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Name of Agency *
Email Address *
Phone Number *
1. Type the First and Last name of each registrant you will be paying for (each registrant must also complete the Individual Registration Form before they will have access to courses).  2. Indicate the number of courses and/or a yearly subscription allowed next to each name. (ie: Jane Doe, 3 courses; John Do, yearly subscription;) 3. Separate each name/courses allowed with a semi-colon.
How will you be paying? *
OFFICE USE ONLY
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