<#FORM_LABEL2>Online Training Registration

To register for training and reserve a seat, please complete this form and click the "Submit" button at the bottom of the page at least 2 days prior to the chosen session date. Reservations are subject to availability.

*Indicates required fields

EMPLOYEE INFORMATION

NORCAT No. (if available):

Last Name:

*Legal First Name:

Birth Date:

Personal Phone Number:

Ext.

Personal Email:

COMPANY INFORMATION

<#COMPANY_LIST>

COURSE INFORMATION

<#OTHER_COURSES>

Registration Summary

None

Estimated Total: $ 0.00

Check if you are staying at a mine camp site

Please Select Your Gender:

BOOKING & PAYMENT INFORMATION

External Documentation/Training (Optional)

Choose file

Additional Comments

Please ensure you have your NORCAT QR Card before arriving on work site.