Apprentice-in Training – Summer Sale Enrollment Agreement- Apprentice -In-Training (End-of Summer Savings) Advanced Laser Institute919 W. Gray St. Houston, TX 77019Your Name* First Last Your Address* Street Address Address Line 2 City State / ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Phone Number*Social Security Number*Your Email Address* Upload a copy of your Driver’s License*Max. file size: 5 MB. Upload your High School Diploma/GED*Max. file size: 5 MB. Upload a copy of your CPR Certification*Max. file size: 128 MB. If you do not have a CPR Certificate, please upload a letter stating that you will be enrolling in the course while completing the online lecture.
