Perio Course Registration Form


We will use your cell number to text confirmations to you.





Course Information




Payment by Credit Card




Perio Institute will charge your credit card a $50.00 deposit to hold your registration when you register for a course. Perio Institute will charge the balance of the registration fee to your credit card when we send the 2nd confirmation, usually 4-5 weeks prior to the course date. Your deposit will be refunded if the Perio Institute cancels the course for any reason or if you cancel at least four weeks prior to the course date. If you cancel within four weeks of the course date, Perio Institute will refund 70% of the registration fee and 30% will be non-refundable. No shows the day of the course will receive no refund of the registration fee.


Due to the nature of the supplies for our cadaver courses the refund policy is the following:

*Prior to 30 days before the course you will receive a full refund

*30 to 16 days prior to the course you will receive a 60% refund and 40% of your tuition will be non-refundable.

*15 to 1 day prior to the course OR no show the day of the course you will receive no refund-no exceptions due to the nature of the cadaver expense.


Perio Institute will not be responsible for any costs incurred or potential earnings lost due to course cancellations.


Payment by Check


To pay by check, please send full payment along with your registration information (you can print this page) to the address below. Your payment must be received at least two weeks prior to course date. Unless the course is cancelled, Perio Institute will cash your check two weeks prior to the course date.
Perio Institute
Attn: Course Registration
35300 SE Center Street
Snoqualmie, WA 98065