Cannabis Healthcare and Medicine non-credit Certificate

Registration

IMPORTANT: The information below pertains to the student. If you are registering on behalf of the student, please include the student’s information below.

Student First Name

Student Last Name

Student Phone number

Student Email

Student Address 1

Student Address 2

Student City

Student State

Student Zip

Intended Start Date

Student Date of birth

Student Alternate Name

Student Gender

By checking this box, I acknowledge that I have read and agree to the program's Policies and Procedures and Green Flower's Payment Terms and Conditions

*You MUST be 18 years or older to enroll in any of our cannabis non-credit certificate programs. By submitting this form you acknowledge you have read and agree to the program policies.

Program