win/sp/train./regis/form

TFFC Winter / Spring Training Online Registration Form

Please fill in all the information blanks below and press the submit button. You must hit the submit for your registration to be received. You will get a confirmation page and options to pay online. Look forward to seeing you in this class.

*2010 Winter/Spring Training ONLINE APPLICATION: Please select yout title: *Student name: *Contact number: (preferably cell #) ( area code) - - - / - - - - *Name of your department *e-mail address: *I am paying ONLINE today for my class, so look for my payment! I agree that all above is correct . Please type your initials: *Choose an option below to attend the Individual/Group Crisis Intervention @ Bell Buckle?
Please sign me up for the class ONLY! $100.00 *Lodging/Meals on your own.
Class Fee plus Lodging/Meals @ the academy = $250.00
Class fee plus OUT of STATE Lodging/Meals @ Academy = $325.00