Name:
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Register me for the following course:
LPN IV Certification - Full Course - Independent Learning
Clinical Skills Validation
LPN IV Certification - Challenge MUST have prior approval

By checking the box I am registering for the IV Certification
challenge course and am indicating I have received, reviewed
and agree to the terms of the IV Certification challenge
expectations.
Review Challenge Expectations
Payment Information:
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Once registration is submitted
mail check to:
Carolynn Cassutt Consulting, Inc
7563 S Salida Court
Centennial, Colorado 80016
Checks returned NSF are subject to a $30.00 fee
Credit Card through PayPal
Once registration is submitted click
on the PayPal Link next to the
course to submit payment
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If payment is to be made
under another name,
please indicate here the
name of the registered
person and the name of the
payee. Thank you!
Make sure you submit an email address with registration information so
that we may respond back to you. We will email a response back within
72 hours of receipt.

Once registration and payment are received we will mail out the
self-study course.

You will register for the laboratory practice day when submitting
the quiz questions answers and preceptor form.
Once Independent Study course is mailed, there are no refunds.

If modules are lost there is a $50.00 charge for replacement.
Once Independent study course is mailed there are no refunds.
Registration Form
LPN IV Certification