Student Enrolment Form – DB Tech Training Center

Student/Participant Information:

Full Name *

Street Address *

City *

State & Zip *

Phone (Cell) *

Phone (Home)

Phone (Work)

Email *

ID Type *

ID Number *

Issue State *

Issue Date *

Expiration Date *

Date of Birth (MM/DD/YYYY) *

Emergency Contact (Full Name) *

Emergency Phone *

Race/Ethnicity: Please check one *

Hispanic American Indian / Alaskan Native Asian Black/African American Native Hawaiian / Pacific Islander White Other

Training Course Information:

Date of Registration *

Projected Enrollment Date

Training Course: Microsoft SQL Server Database Administration

Duration: 6 months/130 clock hours (with labs & interview prep)

Class Schedule (EST): Saturdays or Sundays based on your registration (not both)

Time: 10 am to 2:00 pm with 20 minutes break

Review Session (optional): Wednesdays (2 clock hours): 6:30 PM to 8:30 PM

Account Information:

Username *

Password *

Confirm Password *

Student Acknowledgments:

I have read and saved an exact copy of this enrollment/registration agreement. I understand that DB Tech Training Center doesn't guarantee job placement, doesn't offer any degree, credit or diploma or work experience to attendees upon program completion. I have read and understood the training cost, tuition amount, refund/withdrawal policies, and other requirements as a student of DB Tech Training Center.

DB Tech Training Center - Program Registration & Enrollment Agreement

Student/Participant Information:

Training Course Information:

Account Information:

Student Acknowledgments:

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