Traffic Control Specialties
Registration Form
* Required Field
Last Name *
First Name *
Street Address *
Mailing Address  ( if different)
City / Town *
Postal Code *
Phone Number *
Classes subject to cancellation based on min. class size.
Course Location *
Requested Course Date *  **
Students may cancel/reschedule by 5pm, 4 days (84 hrs), prior to training date to
receive a refund, otherwise deposit is forfeited.
If required, Deposits will be refunded back to your payment source.
E-mail deposit Address
E-transfer Password
If you are receiving funding please add funding agent contact
information, our office requires a email/letter from the
funding agent to confirm your spot.
Funding Agents Contact Information
Questions, comments, or feedback