PA Emissions Course Application 2025-2026

PA Emissions Course Application

2025-2026
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date of Birth
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
School DIstrict of Residence*
For example: Reading School District
Do you currently hold a valid PA Driver's License?*

YesNo
Please enter your eight-digit PA Driver's License number:
Valid PA License required for PA Emissions Certification
Each emissions course consists of two evening classes (5:30 pm - 9:30 pm).

PA Safety Emissions Course Fee: $80.00

The following additional fees will be applied for each category tested:

An additional fee of $39.99 for study materials and exams must be paid to PennDOT via their website, www.patrainingportal.com, a minimum of 3 days prior to the beginning of class.
October Course Dates:
Tues., Oct. 21, '25 - 5:30-9:30pm
Thur., Oct. 23, '25 - 5:30-9:30pm

January Course Dates:
Tues., Jan 13. '26 - 5:30-9:30pm
Thurs., Jan 15. '26 - 5:30-9:30pm

March Course Dates:
Tues., March 24, '26 - 5:30-9:30pm
Thurs., March 26, '26 - 5:30-9:30pm

May Course Dates:
Tues., May 19, '26 - 5:30-9:30pm
Thurs., May 21, '26 - 5:30-9:30pm
Which course do you select?*

October 2025 ($80)January 2026 ($80)March 2026 ($80)May 2026 ($80)Retest Only ($60)

My Products*

RMCTC PA Emissions Course (Credit Card)

$80.00

RMCTC PA Emissions Course (Cash Option - NOT FREE)Cash Option - NOT FREE - is marked as zero on this application. The full amount of $80 is to be paid, in cash, on the first night of class.

$ Free

RETEST - PA Emissions Certification

$60.00

Total

$0.00

Credit Card

Please indicate any comments, concerns, special requests or accommodations below.
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