Online Registration for Education Workshop

Registering for:*

Name:*

First

Last

Rank:*

Are you a CLEE graduate?

Yes

No

Agency:*

Address:

Street Address Street Address Line 2 City State Postal / Zip Code

E-mail:*

Phone Number:

PO# if applicable

Electronic Invoice emailed to:

Are you or your Chief an OACP Member? (If so, all departmental staff qualify for the member rate)

Yes

No

Send membership information:

Yes

No

Do you need overnight lodging? (New Chiefs, Public Records 101 or Supervisors' In-Service)

Yes

No

Bringing a guest/spouse?

Yes

No

Guest/Spouse Name:

First

Last

Dietary Needs?

Comments: