NeRWA Training Registration
Nebraska Rural Water Association
Water Operator Continuing Education
Online Registration Form
 
Fields indicated with an asterisk (*) are required information.
 
Name*
 
Address*
 
City*
 
State*
 
Zip Code*
 
System/Company*
 
Telephone
 
Email
 
Licenses Held Primary Job Function*
Yes No Grade Number License Type System Water Operator
Water Operator Board Member
Backflow State or Federal Rep
Wastewater Other
 
Class Attending*
 
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