LPD Security Training Registration Form

LPD Security Training Student Enrollment Form

Print form and mail with payment to:

LPD Security Training Services — 16 Clark Avenue — Troy NY 12180

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	Male Female

SESSION DATE CHOSEN__________________________________

BY SIGNING BELOW THE APPLICANT ABOVE ENROLLS IN A SECURITY GUARD TRAINING PROGRAM WITH FULL KNOWLEDGE THAT:

ALL DEPOSITS AND/OR TUITION'S ASSURE A PLACE IN CLASS. CLASSES ARE LIMITED IN SIZE, AND THEREFORE ARE CONSIDERED EARNED UPON RECEIPT AND THUS NON-REFUNDABLE AND NON-TRANSFERABLE, IF FOR SOME REASON THE COURSE YOU ARE ENROLLED IN IS CANCELED OR RESCHEDULED UPON NOTICE OF SUCH CHANGES YOU MUST REQUEST SAID REFUND IN WRITING WITHIN 10 DAYS.YOUR DEPOSIT WILL BE PROMPTLY REFUNDED.

BY MY SIGNATURE BELOW I CERTIFY I HAVE READ AND AGREED TO THE TERMS AND CONDITIONS ABOVE.

Signature:_____________________________________________________ Date:_____________________________

Printed: _______________________________________________________

ENCLOSED IS MY US Postal Money Order for:

[ ] NON REFUNDABLE TUITION OF $ 80.00 FOR THE NYS 8 HOUR PRE-ASIGNMENT TRAINING GUARD COURSE FOR SECURITY GUARDS

[ ] NON REFUNDABLE TUITION OF $ 120.00 FOR THE NYS 16 HOUR ON-THE-JOB TRAINING COURSE FOR SECURITY GUARDS.

[ ] NON REFUNDABLE TUITION OF $ 80.00 FOR THE NYS 8 HOUR IN-SERVICE TRAINING FOR SECURITY GUARDS

PRINT , COMPLETE & RETURN THIS ENROLLMENT FORM WITH POSTAL MONEY ORDER MADE OUT TO LPD SECURITY SERVICES AND MAIL TO LPD Security Training Services 16 Clark Avenue Troy, NY 12180