Register Now

You are on your way! The Registration Fee is $25 USD. Complete the registration form below and pay the $25 fee to get started.

Name *

Mailing Address *

Email Address *

Phone Number (No dash required) *

Gender / Sex *

Date of Birth *

Class Date *

Schedule Options *

Program Applying for *

Do you have a IEP or Individualized Education Plan *

If yes, please provide documentation

Registration Fees: $25

Terms and Conditions: By accepting, and signing this agreement you acknowledge that you have READ and UNDERSTAND all information outlined listed on our website, agree to allow The Nursing Institute to collect a non-refundable $25.00 registration fee, and authorize all credit/debit card payments. PLEASE NOTE: By paying a registration fee does not guarantee enrollment to The Nursing Institute.

Human Verification Equation + 19 = 22

Signature

Date *

I accept the above terms and conditions:

Register Now

About Us

Our Office

Newsletter