Electrofishing Principles and Safety Certification Course Registration

Smith-Root will be closed Monday, October 14th in observance of the federal holiday.

Electrofishing Principles and Safety Certification Course Registration

Use this form to register for the Electrofishing Principles and Safety Certification course hosted and taught by Smith-Root.

Your information

Name

Please enter your name.

Organization

Street Address

Please enter a street address.

City

Please enter a city.

State

Please enter a state or province.

Zip/Postal Code

Please enter a Zip or postal code.

Country

Please enter a country.

Telephone

Please enter your telephone number.

Please enter your email address.

Course attendance date

Course

Please select a course date.

Payment information

The class cost is $500 per student or is included at no cost with the purchase of any new Smith-Root backpack electrofisher. A Smith-Root representative will contact you in the coming weeks to collect payment information.

Payment Options

Credit Card

Course Voucher

Purchase Order

Please select a payment option.

Purchase Order Number

Additional information

These questions are optional, but your answers will assist us in planning a course that meets your needs.

What prompted you to seek training?

What do you hope to learn from the course?

What electrofishing equipment (i.e. make and model) do you generally use?

By submitting this form, participant certifies that the information provided herein is true and accurate and that they have read and agree to the terms and conditions provided in the Liability Release. Participants are also required to sign the Liability Release on day of class.

You'll receive a confirmation email.