Enroll Now Last Name: *Middle Name:First Name:Date of BirthSocial SecurityAddress:City/State/ZipHome Telephone:Cell Phone:Email *Print NameTOTAL COURSE FEES & OTHER CHARGESPLEASE NOTE: Students are expected to pay all student account charges by the end of the program/course, published by Palm Beach Career College. The student will be responsible for paying any and all costs associated with collection efforts by Palm Beach Career College. This may include interest, collection costs, attorney fees and court fees. If the balance is not paid in full by the end of the course or due date, the student will be unable to register for or take the NCLEX until the balance has been paid in full.CANCELLATION OF THE PROGRAM OR COURSE BY THE STUDENTRegister
