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Class Registration Form
Order Confirmation #
First name
Last name
What is your Level of Experience in the program you enrolled in?
Beginner
1-2 years
3+ years
Company
Email
Phone
Job Title
Birthdate
Any dietary restrictions?
ADAS Class
ADAS class only (select all that apply)
did not enroll in ADAS class
I own a system already.
Trying to decide which system to purchase.
Dynamic focused
Static focused
I want to know it all!
Current Industry?
Auto Glass
ADAS / Calibration
Body / Collision
Detailing
Entrepreneur
PDR / Hail
Other
Tinting
Windshield Repair
Let us know what you hope to learn in this class?
Flat Glass Class
Flat Glass 101 only class (select all that apply)
did not enroll in Flat Glass
Residential windows is a priority to learn.
Frameless Showers is a priority to learn.
Commercial Storefront is a priority to learn.
Glass ordering & resources is a priority to learn.
I have cut glass before.
CSR Class
What Software Program do you use?
*
Omega EDi
Mitchell
AutoGlass CRM
Other
None - want to review options
Student is authorized to make purchases for the company?
*
Yes
No
I hereby give Kaizen Glass Solutions permission to use images or videos from my class in its publications, including online publications, without payment or other compensation.
*
Yes
No
How did you hear about us?
Past Student Referral
Social Media
Advertisment
Search Engine
I am a KGS Alumni
Tradeshow
Other
I have read and understand Kaizen Glass Solutions Cancellation Policy
View policy
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