Please have these items ready to fill out our form on the next page after payment:

• Email
• Name (Last, First, Middle)
• Phone
• Your Apprentice License Number & Exp Date
• Establishment Name To Be Dropped, License & Exp Date
• Trainer Name To Be Dropped, License & Exp Date
• Do You Currently Have A Second Trainer?
  • Yes
  • No
• New Establishment Name, License & Exp Date
• New Establishment Address
• New Establishment Owner’s Name (Please Make Sure They Are The Legal Owner)
• New Establishment Owner’s Email Address
• New Trainer’s Name, License & Exp. Date
• New Trainer’s Email Address

Payments are non-refundable.