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- NurseDash
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NurseDash Registration
(Must already be registered & approved by NurseDash)

First name*

Last name*

Phone*

Birthday*

Month

Day

Year

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Email*

Emergency Contact Name & Number*

Class reservation + Processing fee + Tax *

$

For Zelle please use 216-856-3064. Processing fee will not be added. ($375) Complete the form and click submit, when you get to the billing page exit the site, no additonal information is needed.

Never Miss a Class.

Email*

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Have Any Questions?

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