REGISTRATION FORM

WE ACCEPT CASH, CASHIER'S Checks & MONEY ORDERS. ONLINE PAYMENTS CAN BE MADE via PAYPAL (top of the page). For the CNA Class, here are a list of ways you can pay your tuition:
1. pay in full

2. Apply for PayPal credit - click the square blue button above and scroll all the way down until you see "Additional information" subtitle, then you will see the words, "click here" in blue. That's where you will apply.

3. set up weekly/biweekly payment installments with our program

(after the initial payment is made).

4. Cash App: cash.me/$CNAPROGRAM

**EMAIL US TO REQUEST A PROXY CAREGIVER CLASS TWO WEEKS IN ADVANCE. NO REFUNDS.

** STAFF OF THE CNA PROGRAM CANNOT RECEIVE REFERRAL COMPENSATION.

Email: *

PROXY CAREGIVER/CERTIFIED NURSE AIDE

REGISTRATION FORM

CLASSES ARE HELD AT 600 EISENHOWER PKWY.

(MACEDONIA BAPTIST CHURCH, ANNEX BLDG.)

MACON, GA. 31206

P/F: (478) 742-5230

EMAIL: visionpch2008@yahoo.com

I Understand I Must Pay the Registration Fee Today. *

Yes

Phone *

Name: *

Which course are you registering for? *

Option 1: In-Person CNA

Option 2: Blended CNA

Option 3: Proxy Caregiver Training (for PCHs Only)

Address *

Vision Personal Care Home

Please complete the registration form below and click SUBMIT. Then click on the "Add to Cart" button at the top of the page and you will be directed to pay your $100.00 registration fee. If the fee is not paid with your form, your registration is incomplete. Do NOT complete this form if you cannot pay the registration fee.