New Online Registration

Healthcare Academy of California

440 S. Melrose Vista, CA 92081

Online Registration

Student's Information

First Name

Last Name

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Street

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State/Province

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Program of Enrollment

Program

Payment Plan Options

FULL TIME COURSES $250 at time of registration 1st half due on or before first day of class 2nd half due on or before the last day of class PART TIME COURSES $250 at time of registration 1st 1/3 due on or before first day of class 2nd 1/3 due 30 days later 3rd 1/3 due 30 days later

Payment Plan

Default Payment Plan for Invoice

Promotion Code (If Applicable)

How did you hear about HAC?

IF YOU ARE NOT READY TO MAKE THE MINIMUM DEPOSIT OF $250 PLEASE SAVE & CONTINUE YOUR REGISTRATION LATER. THIS IS REQUIRED TO RESERVE A SEAT IN A CLASS.

440 S. Melrose Vista, CA 92081 (760) 232-4050 www.HealthcareAcademyCA.com