CABLE 911/Dispatch Training Registration

Town of Groton Police Department

8 Groton Long Point Road

Groton, CT 06340

Thursday, October 26 & Friday, October 27, 2023

8:00-4:00 PM

$49 per attendee, includes lunch both days

First Name (individual completing registration) *

Last Name (individual completing registration) *

Name of Agency/Organization *

Agency Address *

City *

State/Province *

Zip/Postal Code *

Work Phone *

Email Address *

How many people are you registering? Please note, due to course demand and space restrictions at training sites, we are currently limiting registrations to five (5) individuals per department per training. *

What are you registering for? *

911/Dispatch Training - October 26 & 27, 2023

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Add Another Participant

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

How will you be paying? *

Online - Credit/Debit

Invoice - Pay by PO/Check (click "pay by check on next screen")

I have a coupon code

Please enter your coupon code

Name of Supervisor *

Supervisor - Email Address *

Does your department have a CIT Coordinator? *

Yes

No

Unsure

Name of CIT Coordinator

Email - CIT Coordinator

Please include any special instructions/information related to this registration, (invoicing instructions, PO #, etc.) if needed. Invoices will be emailed to the individual completing registration unless otherwise noted here.

Registrations may be cancelled/refunded and/or participants may be rescheduled for an alternate training session up until 7 days prior to the course start. No shows and cancellations occurring after this point will not be eligible for a refund or postponement/application of funds towards a future class. A registered participant may be replaced/swapped with another participant from the same agency for the same training class without penalty up until the start of the training class. *

I have reviewed the cancellation policy and agree to the terms.