Assisted Living Association

Of Alabama

ServSafe® Food Safety Training and

Certification Class

October 11, 2018

8:00AM to 5:00PM

Assisted Living Association of Alabama Office

2740 Zelda Road, Ste 3B

Montgomery, AL 36106

The ServSafe® program has become the industry standard in food-safety training and provides accurate up-to-date information for all levels of employees on all aspects of handling food, from receiving and storing to preparing and serving. You will learn science-based information on how to run a safe establishment.

A ServeSafe® Certificate will be supplied to all who successfully complete the class. The certification is good for 5 years. You will receive your book approximately 2 weeks prior to the class date so that you can begin studying for the class. A score of 75% is required to “pass” the exam.

Training will be conducted by US FoodsServSafe® certified personnel directed and presented by Pam Williams-Bethea, RDN, National Accounts Executive.

If you are interested in attending, please submit the attached registration formno later than 30 days prior to the class (NO EXCEPTIONS).

ServSafe Class Registration

October 11, 2018

ALAA Member  Non-Member

Facility/Organization Name:______

Contact: ______

Address: ______

City/State:______, ______Zip Code: ______

Telephone:______Email Address: ______

Print or Type the Name of each registrant attending.

Name:Title:

______

______

______

______

______

Total Registrants: ______

FEES: (includes lunch)

ALAA Member: $170.00

Non-Member: $220.00

**The DEADLINE to register is 30 days prior to the seminar. NO EXCEPTIONS!!**

Cancellations – NO refund will be given for cancellations once you have registered.

TOTAL PAYMENT DUE: $______

 Check Enclosed (Payable to ALAA) Check Request Enclosed

 Please charge my _____ Visa _____ MasterCard _____ Discover/ Total Charge: $______

Name on Card: ______Card Number: ______

Expiration Date: ______Signature:______

Please return form with registration fee to:

ALAA, 2740 Zelda Road, Ste. 3B, Montgomery, AL 36106.

Or Fax Registration to (334) 262-4603 with a Credit Card Number.

CEUs - Assisted Living Administrators 6.0