Nevada Gaming Control Board : Form Page

Survey/Form Review

Restricted Licensee Compliance Seminar Registration

Please use this form to file a registration request to attend the Restricted Licensee Compliance Seminar.

Enter your information below. Fields marked with an asterisk (*) are required fields.

Full name:*

Phone:*

Email address:*

Are you a licensee/applicant or an employee of a restricted location?*

Yes

Licensee business name and address :*

Type of restricted operation you work at or operate/will operate (tavern, convenience store, grocery store, liquor store):*

Are you required to attend this course due to a license condition?*

Yes

Nevada Gaming Commission Agenda Date if known:

List any specific gaming issue or question you would like to have addressed :

Click to select the seminar you are requesting to attend*

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