Registration

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Course Registration Form
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First Name: *
Middle Initial:
Last Name: *

Home Address (Street)
City
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Primary Email: *

Rank: *

Assignment *

Other

Agency Name: *

Agency Phone: *
Agency Fax:
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Agency Address: *
City *
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Course: *

# of Attendees *

From Date: *
To Date: *
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Terms and Conditions * By submitting this registration form you agree to the terms of payment. Payment must be received no later than the commencement of training on day one. Those participants who fail to remit payment will not be allowed to participate in training, and as a consequence, will not receive a certificate of training. The participant is has the primary responsible to ensure payment is made. Select “submit” if you agree to the terms for payment.

L.E.A.D. Consultants Inc.

Law Enforcement Advanced Development