SEALANT APPLICATION BY DENTAL ASSISTANTS
Course Registration

AVAILABLE COURSES (choose one)
  There is a limit of 21 enrollees for each class
                                             

Paid Enrollees
 

Saturday, March 29, 2008 at 8:00 AM
Location: Chattanooga, TN (select by clicking the left hand button)

    18
 
Saturday, March 29, 2008 at 1:00 PM
Location: Chattanooga, TN 		Sorry, Full

Saturday, May 31, 2008 at 8:00 AM
Location: Chattanooga, TN (select by clicking the left hand button)

   13

Saturday, May 31, 2008 at 1:00 PM
Location: Chattanooga, TN (select by clicking the left hand button)

   10

Saturday, July 19, 2008 at 11:00 AM
Location: Chattanooga, TN (select by clicking the left hand button)

   8

If you wish to be placed on a waiting list, please check this button and complete the applicant information below. We will notify you as soon as a class becomes available.

    
 

   

APPLICANT INFORMATION 

First Name Last Name
Address City  State Zip
Home Phone   Work Phone Email 
            

Tennessee Registration number    Effective Date

(enter "student" if applicable)  

(Your registration number can be found at the Board of Dentistry website)