Fill in these forms to register with your trainer:

Connexions Training

1400 Chapel Street. PO Box 782
Santa Clara, UT 84765
(801) 874-7691

  • AUTHORIZATION OF RELEASE OF INFORMATION

  • I,
  • * whose birthdate is
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  • *
  • hereby authorize my Connexions Trainer and/or Connexions Training staff to:

  • It is requested that the following specific information be provided:

    YOU MUST INITIAL THE LINES BELOW.

  • In consideration of this consent, I hereby release Jodi Hildebrandt, Connexions
    Training and Connexions Classroom Inc. and it’s staff from any and all liability arising therefrom.

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