Electrofishing Principles and Safety Certification Virtual Course Sign-up

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

Course participants must meet the course technical requirements to attend the class.

Your Information

Name

Organization

Street Address

City

State

Zip Code

Country

Telephone

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Course Attendance Date

Course Date

Payment Information

This one day live course taught through the virtual portal costs $400 per student or is free with purchase of any new Smith-Root backpack electrofisher.

Payment Options

Credit Card

Course Voucher

Purchase Order

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 Electrofishing Course Agreement and Liability Release. Participants are also required to sign the Liability Release on day of class.