EmailMe Form - Southwestern Section IMSA - FEBRUARY 2022

Southwestern Section IMSA - FEBRUARY 2022

FEBRUARY CERTIFICATION PROGRAM
FEBRUARY 21 - 24, 2022

DEADLINE FOR REGISTRATION: JANUARY 20, 2022

HARD ROCK HOTEL & CASINO
777 W Cherokee St, Catoosa, OK 74015
1-800-760-6700
Ask for "International Municipal Signal Association - SW Section rate" for guaranteed room rate of $120.00
Deadline to reserve room is January 30, 2022

Name *
First Last
Member #,if not a member Please put in "1" *
Phone *
### - ### - ####
Employer *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *
Registration *
New Registration
Renewal Registration (No Exam)
Challenge Exam
Exam Retake
Level III Review
WORK ZONE TEMPORARY TRAFFIC CONTROL
WED 2/23/2022 - THURS 2/24/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $560.00
NEW REGISTRATION: N0N-MEMBER $660.00
RENEWAL: MEMBER $475.00
RENEWAL: NON-MEMBER $575.00
TRAFFIC SIGNAL TECHNICIAN LEVEL I
MON 2/21/2022 - TUES 2/22/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $560.00
NEW REGISTRATION: N0N-MEMBER $660.00
RENEWAL: MEMBER $415.00
RENEWAL: NON-MEMBER $515.00
TRAFFIC SIGNAL TECHNICIAN LEVEL II FIELD
WED 2/23/2022 - THURS 2/24/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $620.00
NEW REGISTRATION: N0N-MEMBER $720.00
RENEWAL: MEMBER $475.00
RENEWAL: NON-MEMBER $575.00
TRAFFIC SIGNAL TECHNICIAN LEVEL II CONSTRUCTION
WED 2/23/2022 - THURS 2/24/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $620.00
NEW REGISTRATION: N0N-MEMBER $720.00
RENEWAL: MEMBER $475.00
RENEWAL: NON-MEMBER $575.00
TRAFFIC SIGNAL TECHNICIAN LEVEL III FIELD REVIEW
TUES 2/22/2022
8:00am - 5:00pm
NOT A RENEWAL COURSE
Course, Exam, 1 Lunch
NEW REGISTRATION_MEMBER $340.00
NEW REGISTRATION: N0N-MEMBER $440.00
TRAFFIC SIGNAL INSPECTOR
MON 2/21/2022 - TUES 2/22/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $560.00
NEW REGISTRATION: N0N-MEMBER $660.00
RENEWAL: MEMBER $415.00
RENEWAL: NON-MEMBER $515.00
TCSS I
MON 2/21/2022 - TUES 2/22/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $560.00
NEW REGISTRATION: N0N-MEMBER $660.00
RENEWAL: MEMBER $415.00
RENEWAL: NON-MEMBER $515.00
SIGN TECHNICIAN LEVEL I
MON 2/21/2022 - TUES 2/22/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $560.00
NEW REGISTRATION: N0N-MEMBER $660.00
RENEWAL: MEMBER $415.00
RENEWAL: NON-MEMBER $515.00
SIGNS TECHNICIAN LEVEL II
WED 2/23/2022 - THURS 2/24/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $620.00
NEW REGISTRATION: N0N-MEMBER $720.00
RENEWAL: MEMBER $475.00
RENEWAL: NON-MEMBER $575.00
ROADWAY LIGHTING TECHNICIAN LEVEL I
MON 2/21/2022 - TUES 2/22/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $560.00
NEW REGISTRATION: N0N-MEMBER $660.00
RENEWAL: MEMBER $415.00
RENEWAL: NON-MEMBER $515.00
ROADWAY LIGHTING TECHNICIAN LEVEL II
WED 2/23/2022 - THURS 2/24/2022
8:00am - 5:00pm
New Registration: Course, Manual, Material, Exam, 2 lunches
Renewal: Course, Material, 2 Lunches
NEW REGISTRATION: MEMBER $620.00
NEW REGISTRATION: N0N-MEMBER $720.00
RENEWAL: MEMBER $475.00
RENEWAL: NON-MEMBER $575.00
CTC TROUBLESHOOTING CLASS
WED 2/23/2022 - THURS 2/24/2022
8:00am - 5:00pm
Course, Material, 2 Lunches

MAXIMUM OF 10 STUDENTS PER SESSION
SESSION #1 - WEDNESDAY - THURSDAY: $405.00
CHALLENGE EXAMS / RETAKES
TUESDAY 02/22/2022 OR THURSDAY 02/24/2022
8:00am - 12:00pm ONLY
MEMBER $170.00 per test
NON-MEMBER $240.00 per test
EXAM RE-TEST
PLEASE CHOOSE WHICH DAY YOU WANT TO TEST FOR CHALLENGE EXAMS/RE-TESTS:
(Please Note: Due to testing having to be approved by IMSA International, you must test on the day you choose.)
TUESDAY - 02/22/2022
THURSDAY - 02/24/2022
WHICH EXAM ARE YOU CHALLENGING OR RE-TAKING?
WHICH EXAM ARE YOU CHALLENGING OR RE-TAKING?
Comments
Any cancellations must be submitted by January 30, 2022.
NO REFUNDS will be given after January 30, 2022.

ALL invoices shall be paid prior to the Course date.
No students will be admitted to the class if the invoice has not been paid. *
By checking this box I understand, acknowledge, and agree to the statements above concerning payments, cancellations, & refunds.
By clicking Submit below, you are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. By attending the Southwestern Section IMSA's February Certification Program, you and any guests voluntarily assume all risks related to exposure to COVID-19 and agree not to hold Southwestern Section IMSA; IMSA International; Hard Rock Hotel & Casino; or any of their affiliates, directors, officers, employees, agents, contractors, or volunteers liable for any illness or injury. *
By checking this box I understand, acknowledge, and agree to the paragraph above concerning COVID-19.