Dental Assistant Program Pre-Registration Winter 2020
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Dental Program Pre-Registration
Welcome. Thank you for your interest in our Dental Program. Please use this form to pre-register for our upcoming program. You will receive announcements and other information about this program as we prepare for the program to begin by March 2020.
Lompoc Adult School and Career Center Registration Form Dental Program Winter 2020
Enter your first name as it appears on your legal documents.
Type your middle name here. Leave blank if you do not have a middle name.
Enter your last name as it appears on your legal documents.
Enter the street address of your residence
Enter the city where you live
Phone Number with Area Code
Thank you for your registration. Please let us know if you have any questions that you would like answered at this time. We will respond by email. We plan to begin the program by March 2020. We will keep you posted.