Please submit a separate form for each ATTENDEE. Refresh this page to submit the form again. "*" indicates required fields Please be sure that the CLASS NAME and DATE are entered correctly below.Class Name* Date* HiddenStart Date (OLD) MM slash DD slash YYYY 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 No 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*Attendance Option*Choose whether you will attend this class in person or virtually (via Zoom.) In Person Virtual Virtual Attendance Email*Zoom link for this class will be sent to this email address CommentsThis field is for validation purposes and should be left unchanged.