Royalty Adult & Pediatric Home Care - Educating. Empowering. Caring.
 
 
 
Would you like to register for a class?
 
Fill out our registration form below and submit it today to reserve you space in class. All payments and registration forms must be received by mail or submitted online by midnight of the registration day deadline. Failure to pay or register by deadline results in not being officially registered for the class and no admittance to the class will be allowed. After you submit the form please allow 24-48 hours for processing and you will receive an official confirmation from a member of our in office staff with further instructions and information.

Please make out and mail check or money orders to:
 Royalty Health & Wellness Resources
P.O. Box 66 Eden NC 27289

We accept cash and debit/credit cards in our office.
If you desire to pay over the phone our office will contact you.
Note that you are not fully registered for the course until payment is received. 
 
Thank you for choosing Royalty for your training needs!

 
Royalty Health & Wellness Resources Class Registration Form
Name
Address
Elite Provider:
Yes
Elite Provider Number:
Telephone Number
This telephone number is my:
Email Address
Employer/ Occupation
I would like to register for:
Choice 1
Preferred Date
Preferred Time
Hours
 
 : 
Minutes
 
Choice 2
Preferred Date
Preferred Time
Hours
 
 : 
Minutes
 
Special Notes:
Website Builder provided by  Vistaprint