Prime For Life Registration Form

"*" indicates required fields

Participant Name*
Participant Email*
Current Mailing Address*
Please provide an address where your Participant Workbook can be mailed.
Please indicate SPECIFICALLY who referred you to Prime for Life (i.e. Plymouth Police Department, NH Liquor Enforcement, etc).
Prime for Life is taught on Zoom. There is an enrollment cap for each course. Registration is on a first come, first serve, basis. You will be contacted to confirm your enrollment.
A flat $350 registration fee via PayPal will be required to take Prime for Life. No additional donation is needed.