Registration Process

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A circular badge with the number two in the center.

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Complete Enrollment

Register for Course

Reserve a Seat

Step 1: Register for the Course

Please complete the form below. Upon completion you will be asked to choose your payment plan and put down a deposit to reserve your seat in the class.

Apex location you are registering for

Semester you are registering for

Preferred class attendance day

Class attendance day preference is not guaranteed and is subject to availability. Friday classes are only available in Little Rock, Texarkana, Bentonville, and Springfield.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth

YYYY

Have you received your high school diploma or GED?

How did you hear about APEX Dental Education?

If applicable, who referred you to us?

Email Opt In

We use email to keep in touch with our registrants. By selecting "I agree" below, you agree to receive email communication and marketing from Apex Dental Education.

I agree