Classes Saturday 8AM-5PM
(770) 687-7940

APDAS Registration

Make Your Life Better, Starting Today…

Congratulations on taking an important step to invest in yourself and in your future!

Registering to become a trained, professional, in-demand Pediatric Dental Assistant is quick and easy. Simply fill out the registration form below to reserve your spot in our upcoming class.

Once the registration form is completed, all that’s left to do is finalize your tuition payment. The tuition fee covers all costs, and will prepare you to start your new profession as an in-demand pediatric dental assistant!

Easy tuition payment arrangements are available

Step 1 of 2 - Class Registration Step 1

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
How Did You Hear About Us?
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Last four digits of social security number*
Birth Date*
Month
Day
Year
Emergency contact name*
First Last
Emergency contact phone*
Emergency contact address*
Street Address Address Line 2 City State ZIP Code
Highest education level obtained*
Specialty Training / Skills?
Why do you want to attend the PDAS?*
Have you ever been convicted of a crime?*
Do you have an arrest record?*
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