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  Smoke school online registration form

 

Please fill out the form below and click Submit. Please call 816-513-6314 for further information or download the printable registration form in PDF format to fill out and mail in your registration.

The non-refundable registration fee is $150 and must be submitted before your certificate will be issued. Checks can be made payable to: City Treasurer of Kansas City, Mo. Submit your payment to:

City of Kansas City, Mo., Health Department
Air Quality Program
2400 Troost Ave., Suite 3200
Kansas City, Mo. 64108

Asterisks (*) mark the fields that are required. If you do not fill in the required fields, the form will not process correctly.


Name:*

Company name:*
Company address:*
Phone:*

E-mail:*

Please mark your preference(s):
Training Day - Wednesday, April 10, 2013
Training Day - Thursday, April 11, 2013
Training Both Days - Wednesday and Thursday

(The Training Days will be held at the Birmingham Treatment Plant at 10801 N.E. 28th St., Kansas City, Mo., from 9 a.m. to 4:30 p.m. both days. We will have practice opacity reading runs from 8:30-9 a.m. both days. If the weather is questionable, call the Air Quality Program to see if the training is postponed.)

Check all that apply:
First time training
Re-certification


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