Registration will be handled on a first come, first served basis. Once 25 slots have been filled, a waiting list will be compiled based on date of receipt of registration. There is no charge for the course, lodging or meals. Once we receive your completed registration form, we will forward confirmation and information on housing. All participants are encouraged to stay at the designated hotel.

If your spouse or significant other is attending, he/she should register separately.

 
Seminar You Wish to Attend *
Full Name *
Full Name
Enter full name
Work Phone *
Work Phone
Work Cell Phone *
Work Cell Phone
Home Phone
Home Phone
Personal Cell Phone *
Personal Cell Phone
Counseling *
Have you received any type of counseling in the past?
Briefly describe the critical incident in which you were involved (example: fatal shooting, incident with death of children, line of duty death of co-worker, etc.).
Name as you wish it to appear on training certificate.