Pool School Registration Form

To register for an upcoming course, please cut and paste this page into an email and send it to info@ncpoolschool.com.  If you cannot send an email, please call us for faxing options.

Name ___________________________________________ Agency __________________________________________ Address __________________________________________ City,State,Zip ______________________________________ Work Phone _______________________________________ Home Phone ______________________________________ Fax Phone _______________________________________ Email Address ______________________________________ Class date requested: _______________________________

Registration Fees: Full CPO Course - $300  (includes new book, certification fees, & test) Optional Fees: Additional CPO books - $40 (issued at class site) Shipping charge to receive a book before date of class - $20 (in addition to $300 course fee) Total amount due: ______________

Cancellations must be made 7 days in advance of class date in order to receive 100% refund. Make checks payable to Pool School Mail check and registration form to: Pool School 1109 Stoneferry Lane Raleigh, NC 27606 Attention: Terri Stroupe