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
• Type of Request
• Current Trainer Name, License & Exp Date (If not applicable, write N/A)
• Name of Trainer You Are Adding, License & Exp Date (If not applicable, write N/A)
• Email of Trainer You Are Adding (If not applicable, write N/A)
• Name of Trainer You Are Dropping, License & Exp Date (If not applicable, write N/A)

Payments are non-refundable.