Responsible Hospitality Council
Hospitality Risk Seminar Registration Form

A registration form must be submitted for each trainee

If you wish to print a version of this form and send it in, please click here
Last Name: First Name: Middle Initial:
Employer: Job Title:
Business Address: Your Manager's Name:
City: State: Zip Code: Business Phone:

How many years have you been at your present place of employment?
How many years have you been employed in the hospitality industry?
Have you had any formal training in responsible beverage service or mixology? Yes No

Please return your $75.00 payment with your completed registration form. Please mark your choice for training date and send back by the 1st of the month.
Class Time (1pm - 5pm)
Location: 27th & Holdrege, Center Team Police Station
January 10, 2013
February 14, 2013
March 13, 2013
April 11, 2013
May 9, 2013
June 13, 2013
 July 11, 2013
August 8, 2013
September 12, 2013
October 10, 2013
November 14, 2013
December 12, 2013

Send payment and form to:
Responsible Hospitality Council
c/o City County Building
555 S 10th Street
Lincoln, NE 68508

(402) 437-7880 		Training Location:
Center Team Police Station
27th and Holdrege Street

Thank You!

Please only click the submit button once.
It will resend it each time you click it.

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