EmailMeForm
2025-2026 HSE Class Registration Form.
Complete the form below to be added to our waitlist for the next available orientation for the class location selected. We will contact you with more information on dates and times of the orientation and confirmation.
Select a class location:
*
Eldon Eve - Monday & Wednesday - 4PM to 8:30PM
Fulton Day - Tuesday & Thursday - 9AM to 12PM
Jefferson City Day - Monday/Wednesday - 9AM to 1PM
Jefferson City Eve - Monday/Wednesday; Tuesday/Thursday - 6PM to 9PM
Versailles Eve - Tuesday & Thursday - 4PM to 8PM
Name:
*
First
Last
Birthday:
*
MM
/
DD
/
YYYY
AGE:
*
Gender:
*
Female
Male
Choose not to disclose
Preferred Method of Contact:
*
Phone call
Email
Email:
*
Phone:
*
###
-
###
-
####
Best time to call:
Morning
Afternoon
Evening
