Welcome to Online Registration

Please review our policies and procedures prior to registration.

Is this your first Bob Randall Associates course? 
Referred by: 
Name: 
S.S. #: 
E-mail address: 
Home Phone: 
Work Phone: 
Address: 

City: 
State:     Zip
School Name: 
Phone: 
Grade/Subject: 
School District: 

Course # Course Title Tuition Amount Paid Now
A $50 deposit is required for each course.


Payment Method: 
Credit Card #: 
Expiration Date (ex: "09/2017"): 
Unless contacted otherwise, this credit card will be used two weeks prior to the start of the course to pay the balance