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Last Name
First Name
MI
Preferred Name(for name tag/tent)
Officer/Deputy Corporal Detective Sergeant Lieutenant Captain Major Deputy Chief/Chief Deputy Assistant Chief Chief Sheriff Tele-Communicator Telecommunications Manager Retired Other Rank if other:
Title
PID#
Date Of Birth
() - Participant Phone
Participant Email
Gender: Female Male
Please inform us of any food allergies:
Agency / Department
() - Agency Phone
Agency Email
Mailing Address
City
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Zip
County
Precinct
#FT Officers in Department
Course is $95 per person for Texas Law Enforcement Officers.
I will be paying by:
Online by Credit Card or Electronic Check Paper Check/Purchase Order (Check/PO # )
You will be contacted with payment information once the minimum number of attendees has been reached.
If the participant has already paid, he/she will be refunded half the cost of the registration fee if written notice of cancellation is received by the Program Coordinator no later than seven (7) business days prior to the program. No refunds are available after this date, but substitutions of attendees are permitted.
If no written cancellation is received and the participant does not attend the program, the participant or their agency will be required to pay 100% of the registration fee if the registration fee was not previously paid.
I have read and agree to the above policies.