Student Information
    Student Name (First and Last)

    Phone Number

    Email

    Address

    City

    State

    Zip

    Last 4 Digits of SSN

    Were you referred to us by a former student?
    YesNo

    Who referred you? (Please provide their first and last name)



    Course Option
    Choose Which Location You Wish to Attend:
    MariettaBuckhead

    Choose a Class Day and Time
    Choose a Class Day and Time



    Scrub Sizing

    Size XXS XS S M L XL
    Numeric 0-2 2-4 6-8 10-12 14-16 18-20
    Bust 33-35 35-36 37-39 40-43 44-47 48-50
    Waist 24-26 26-27 28-31 32-34 35-38 39-41
    Hip 35-37 37-38 39-41 42-45 46-48 49-52

    So that we may order the correct scrub uniform for you, WE NEED TO KNOW YOUR SIZE.

    Selection
    XXSXSSMLXL


    Expected Payment Method

    Payment Confirmation



    Note: You must choose one of the payment options (below) in order to register.

    Online Credit Card Processing Currently Down

    Online payment processing is currently down for maintenance.

    If you are ready to submit or make payment, please call our office:

    (770) 973-0496