The Casino College Registration Form
Note - This is a secured (SSL) web page.
$50 Deposit will reserve your spot in class
Pay the full tuition now and take $25 off - Limited time only!
First Name
Last Name
Middle Initial
Street Address
Zip Code
Home Phone
Work Phone (optional)
Date you would like to start? (new classes start on Monday and Saturday)
What Casino Course are you enrolling in?
What location would you like to attend
Pre-Registration Deposit Payment Information
Type of Card
Full Name (as it appears on card)
Same Address as above  
Street Address
Zip Code
Card Number
Exp Date