ARWA Training Class Registration Form | Arkansas Rural Water Association

Please submit a separate form for each ATTENDEE. Refresh this page to submit the form again.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Please be sure that the CLASS NAME and DATE are entered correctly below.

Class Name*

Date*

This field is hidden when viewing the form

Start Date (OLD)

System/Employer Name*

Public Water System #*

If you are not affiliated with a water system and do not have a PWS#, enter “0”

ARWA Member?*

Yes

Attendee Name*

Your ID#*

Your ID is the last 4 digits of your SSN and first 3 letters of your last name (e.g. 1234nhy)

Email*

Phone*