Student Registration Form

General Information

Registration Information


Payment Information

All Registration forms must be received prior to the start of the selected class in order for your seat to be guaranteed in class. Registration fees are non-refundable after 5 days of receiving your registration form/payment. All forms of payment are accepted.

Mail checks/money orders payable to: Bell-Brown Medical Institute

Pay online at

By mail: Send payments to Bell-Brown Medical Institute 470 Howdershell Rd. Florissant, MO 63031


I have read this document and I understand that my registration is not complete until I pay the specified registration fee, and that my seat in class is not secured until that fee is paid.