Form Preview - Flasher Barricade Association

Registration Form

Please complete the registration form below.

For companies with more than one registrant, please email: [email protected]

Name(Required)

First Last

Membership Status(Required)

Please indicate if you are an active member. Member-only rates are subject to proof of membership.

Course Dates / Time
Flagger: July 21 @ 12:30p – 4:30pm
CATCTC: July 22 @ 8:00am – 4:30pm

Course Location
3318 Howard Street, Suite 50
McClellan Park, CA 95652
(Sacramento County)

Course Selection (Member-only Rate)(Required)

California – Work Zone Certified Flagger Training Course ($150.00)

California – Caltrans Approved Traffic Control Technician Class* (CATCTC) ($215.00)

Flagger and TCT Class Combo (Discounted) ($315.00)

Course Selection (Non-Member Rate)(Required)

California – Work Zone Certified Flagger Training Course ($175.00)

California – Caltrans Approved Traffic Control Technician Class* (CATCTC) ($240.00)

Flagger and TCT Class Combo (Discounted) ($365.00)

Quantity(Required)

* Attendee must have Flagger Cert in place by Caltrans approved trainer to take TCT course.

Subtotal

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State Zip Code

Total

Credit Card(Required)

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