Registration - Competitive Edge Dental Assisting

CLASS*
- ASSISTING COURSE
Choose Assisting Course Start Date:
- January 21, 2025
Select One
Contact Info
Legal first and last name*
First Last
What name do you prefer to go by?
First
Email*
Phone*
DOB*
MM slash DD slash YYYY
Address*
Street Address Unit City State / Province / Region ZIP / Postal Code
Do you have a current US issued photo ID?*
- Driver’s License
- Passport
Select One
Tennessee RDA#
Choose Your Course.*
Payment Method*
- Check
Your Admissions Coordinator will be reaching out within the next few days with your acceptance or denial email. If accepted into our program, you will be invoiced via email a $100 non-refundable deposit in order to hold your spot. This deposit goes towards your remaining tuition balance.
Total
$0.00

Contact Info