Online Registration Form

CLASS AND/OR EXAMINATION REGISTRATION FORM

Pre-registration is required for all classes. Pre-registration is also required at least two business days in advance for all exams given outside of Austin. After you register, if the schedule changes for any reason, AFRED will call or e-mail you ahead of time and notify you of the changes.

AFRED’s eight-hour classes are FREE for Railroad Commission certificate holders who have paid the annual renewal fee. The fee for an eight-hour class is $75 per person for new applicants, for first-year training classes and for uncertified individuals, including those whose certificates have expired.

Use the form below to register for a class, an exam, or both. Please consider the students or examinees registered as soon as you submit the form. Registrants for 16- and 80-hour courses will receive separate confirmation of registration.

* = Required Information


*Company:
*Address:
*City:	State:	*Zip:
Phone:	Fax:
*E-mail:
*Contact person:

*Name	SSN (last 4 digits)	*Course	Examination type	*Date	*Location (City)

First Student Name	First Student SSN	First Student Course Name	First Student Exam	First Student Date	First Student Location
Second Student Name	Second Student SSN	Second Student Course Name	Second Student Exam	Second Student Date	Second Student Location
Third Student Name	Third Student SSN	Third Student Course Name	Third Student Exam	Third Student Date	Third Student Location
Fourth Student Name	Fourth Student SSN	Fourth Student Course Name	Fourth Student Exam	Fourth Student Date	Fourth Student Location