The Waitlist form is available by clicking on the link below to download it. 

Waitlist forms must be submitted to Empower Learn Create with the $55.00 (nonrefundable) registration fee. The fee can be paid in cash or check. Please make checks out to Empower Learn Create. 

Please return the waitlist form to:

Empower Learn Create
3310 Ruther Avenue
Cincinnati, Ohio 45220
Fax: 513-281-7676

If you have any questions, please contact us at (513) 961-2825

Waitlist Form