October ServSafe Registration Form

Classes Dates: October 8th and 10th, 2019

Test Date: October 14th, 2019

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: September 26th, 2019

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.

Help for Person #1 Full Name Person #1 Full Name
Help for Person #1 Email Address Your email address
Person #1 Classes & Exam  (required) Help for Person #1 Classes & Exam Whether to just take the exam or also take a class.
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