REGISTRATION FORM
PURPLE POWER RACING SERVICES
and The Elite Program, Inc. 
216 Breckenridge Ln
Versailles, KY  40383
859-321-4377

Trainer Elite 301 - Trainers� Exam Prep Class

 To register for the Lexington, entucky class on November 19-20-21, fill in and submit below. 
  Tuition $350. (You can pay online and save $20 on the information page.)

 NAME

 ADDRESS:

 CITY:STATEZIP

 PHONE:CELL:

 EMAIL:       

 Do you have a backside license? Yes No
If YES, what kind?   None Owner Groom Exercise Rider Racetrack employee Other

 Have you ever taken the Trainers� Exam before?  No Yes

      If so, when? Never Since June 1, 2009 January 1 to May 31, 2009 Before December 31, 2008 Where?

Click the SUBMIT button. You will be taken back to the subject page. 

You can use a credit card to pay registration fee online and save $20 if you register by November 17.