Shift Change Coaching Group ~ Services

Please complete form below to register.

*Conference line number and class confirmation will be emailed to you upon registration.

Long distance charges may apply to these calls.

First and Last Name:

E-Mail Address:

Mailing Address

Phone No.

For Nurses: Nursing license number:

I wish to sign up for the teleclass in the month of: (check one)

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Session (check one)12 Noon7 PM (Eastern Time)

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