February ServSafe Registration Form

Classes Dates: February 4th  & 6th, 2020
Test Date: February 10th, 2020
Class Times: 3:00 - 6:30 pm
To Be Held At: Wayne RESA Main Campus, rm203
Cost of Class: $180
Class Instructor: Chuck Wolford
Registration Deadline: November 21st.

Payment can be made via check made out to Wayne RESA or Purchase Order
33500 Van Born Rd, Wayne, MI 48184
Attention: Darlene Bowen
Please copy form as needed.

Person #1 Classes & Exam  (required)
Person #2 Classes & Exam
Person #3 Classes & Exam
Person #4 Classes & Exam
Person #5 Classes & Exam
Person #6 Classes & Exam
Person #7 Classes & Exam
Person #8 Classes & Exam
Person #9 Classes & Exam
Person #10 Classes & Exam