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Host a Class
Take or Find a Class
Become an Instructor
Request Speaker for Event
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Are you requesting on behalf of a group?*

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Name of Group*

Are you requesting on behalf of a sponsor, attorney or any other organization?*

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Sponsor, Attorney or Organization Name*

Website associated with Sponsor, Attorney or Organization

Approximate Number of Students*

This does not need to be specific, even a best guess is helpful for us to have an idea of how to best help.

We have a Step-by-step guide with detailed information on what it takes to host a class. Have you been able to review this information?

Yes
No

Our web page https://roadguardians.org/how-to-host-an-asm-class/ provides detailed information about what to expect, as well as printable cost and venue information that you can share with your group. If you would like to take a moment to view this information, note there is a save and continue later feature at the bottom of this form.

How many miles are you willing to travel to attend a class?

We have a map that shows current class locations in relation to your area that can be found at www.roadguardians.org/asm-class-map/ Have you had a chance to view the map yet?*

Yes
No

The best way to be notified of a class when it is scheduled is to join our Road Guardian Facebook Page. We regularly post newly scheduled classes as events. Find us at: https://www.facebook.com/RoadGuardians

We have a step-by-step informational page on our website about becoming an Instructor, have you had a chance to view it?

Yes
No

Our web page https://roadguardians.org/instructor/become-an-instructor/ is a complete guide with requirements and step by step instructions on becoming an Instructor. Please take time to view this information before contacting us with questions. There is a save and continue later feature at the bottom of this form if needed.

Are you requesting a speaker for a workshop or meeting?*

Workshop
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Website for Event (if applicable)

Date*

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There may be a cost associated depending on location. If there's no instructor in your area, travel and lodging may be requested.

Please tell us more about the event, including how many expected attendees

Instructor Name (optional)

If left blank we will put you in touch with the closest Instructor to your location

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