Prime For Life Registration Form

"*" indicates required fields

Participant Name*
Participant Email*
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.
Home Mailing Address*
Prime for Life Course Workbook: Mailing Address*
Please use your current mailing address for the date of the selected PFL course. It is mandatory to have workbook for the duration of the course.
Please indicate SPECIFICALLY who referred you to Prime for Life (i.e. Plymouth Police Department, NH Liquor Enforcement, etc).
A flat $350 registration fee via PayPal will be required to take Prime for Life. No additional donation is needed.