Registration

APPLICATION for Competitive Edge Dental Assisting Academy, LLC

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CLASS*

ASSISTING COURSE

CORONAL POLISHING (Dates TBA)

SEALANTS (Dates TBA)

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Choose Assisting Course Start Date:

February 11, 2025

Select One

Coronal Polishing: Two day course with 14 CEs and must have current Tennessee RDA license ($295.00)

One day course with 6 CEs and must have current Tennessee RDA license ($245.00)

One day course with 5 CEs, must have a current Tennessee RDA license ($115.00)

Contact Info

Legal first and last name*

First Last

What name do you prefer to go by?

First

Email*

Phone*

DOB*

Address*

Street Address Unit City State / Province / Region ZIP / Postal Code

Do you have a current US issued photo ID?*

Driver’s License

Passport

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Tennessee RDA#*

Choose Your Course.*

Payment Method

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Your Admissions Coordinator will be reaching out within the next few days with your acceptance or denial email. If accepted into our program, you will be invoiced via email a $100 non-refundable deposit in order to hold your spot. This deposit goes towards your remaining tuition balance.

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Phone

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(865) 591-2808

(865) 591-2808

APPLICATION for Competitive Edge Dental Assisting Academy, LLC

Contact Info

APPLICATION for Competitive Edge Dental Assisting Academy, LLC

Contact Info

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Text us at (865) 591-2808

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