Education Workshop/Conference Registration Form Submit Date:
Last Name: First Name:
Rank: Department:
Address: City: State: Zip:
Phone: Fax: Email:
Are you a CLEE Graduate? Yes No
Workshop: SELECT ONE PER REGISTRATION HERE New Chiefs' Workshop March 15-16 Labor Law & FMLA March 18 Chiefs' In-Service April 19-21 Public Records 101 May 17-18 Public Records 101 September 13-14
Need an invoice? Yes No
NOTE: Please make checks payable to Ohio Association of Chiefs of Police (for all workshops)
Send confirmation/invoice to the attention of and email
PO # (if applicable):
If you are requesting double occupancy for another workshop attendee, please list roomate's name:
Bringing a spouse/guest? Yes No PLEASE NOTE: This does not apply to one-day workshops (Includes room and meals only, workshop not included)
Spouse/Guest Name:
Comments: