PLEASE PRINT CLEARLY

Name(s):  ___________________________

____________________________________

Address:​____________________________

City:  _______________________________

State & Zip:  _________________________

Phone:  ___________________________

E-mail:  _____________________________

(Coursebook will be mailed to this address.)​

Mail Registration Form and Payment 
(Payable to Foodsafe) to:  

FOODSAFE
Post Office Box 121
Glenwood, Minnesota 56334

www.foodsafe.homestead.com
Toll Free: (877) 723-3660

Course Instructors:
Timothy Moran, Certified Instructor
Todd Appel, Registered Sanitarian

2017 Classroom Schedule
(Place (X) by location you want to attend.)
___  Glenwood**
___  Marshall* 
___  St. Cloud*
___  Mankato*
___  Minneapolis**
___  Glenwood**
___  Duluth*
___  Virginia*
___  Brained*
___  Bloomington**
___  Moorhead*
___  Maple Grove**
___  St. Cloud*
___  Minneapolis**
___  Owatonna*
___  Willmar*
___  Brained*
___  Bloomington**
___  Grand Rapids*
___  Duluth*
___  Moorhead*
___  Glenwood**
___  Maple Grove
___  Marshall
___  Mankato


Private Classes can be arranged for 10 
or more participants.  Please call 
Foodsafe for details 
(877) 723-3660. 

Central Square
Merit Center
Quality Inn of St. Cloud
Holiday Inn Express - East
Hampton Inn & Suites
Central Square
La Quinta Inn & Suites
Virginia City Hall
Comfort Inn & Suites
Holiday Inn Express
Moorhead Library
Cambria Inn & Suites
Quality Inn of St. Cloud
Hampton Inn & Suites
Owatonna Library
Historical Society
Comfort Inn & Suites0
Holiday Inn Express
Grand Rapids Library
La Quinta Inn & Suites
Moorhead Public Library
Central Square
Cambria Inn & Suites
MERIT Center
Holiday Inn Express - East


Food Mgr Certification Classroom Course (Prometric Exam):  $125.00 per person (X) _____ person(s)  =  _____

Food Mgr Certification Classroom Course (Serv-Safe Exam):  $135.00 per person (X) _____ person(s)  =  _____

Food Mgr Recertification Classroom Course:  $59.00 per person (X) _____ person(s)  =  _____

Food Mgr Certification Correspondence Course (Book mailed):  $135.00 per person (X) _____ person(s)  =  _____

Food Mgr Recertification Correspondence Course (Book mailed):  $59.00 per person (X) _____ person(s)  =  _____


Total Amount Enclosed:  ____________

If registering less than two weeks prior to the course date, please register on-line or contact Todd Appel at (877) 723-3660 to register.  We always prefer to send course materials in advance so participants can study and review material prior to the course.  Payment must be received before your registration can be processed.  We do accept walk-in registrations at the time of the class however the registration fee must be  in cash or money order.        

Both examinations are approved by the Minnesota Department of Health and Agriculture to meet the Certification Rule.  Chain operations such as Burger King, McDonalds, and Taco John's typically use the Serv-Safe Examination.  All other establishments (ma/pa operations, assisted living facilities, schools, etc.) typically use the Prometric Examination.  

Ensure that the address indicated on this registration form is considered a deliverable address by the postal service. 



Foodsafe
Classroom Registration Form

Continuing To Serve The Food Service Industry ...
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