CABLE CIT Training Registration

DATES & LOCATIONS

February 6-10, 2023 - Fairfield Regional Fire School, 205 Richard White Way, Fairfield, CT 06824

March 13-17, 2023 - Quinnipiac University, Hamden, CT

April 10-14, 2023 - Hartford Police Department, 253 High Street, Hartford, CT 06103

$189.00/per attendee

All classes run 8:00 AM-4:00 PM each day

Please note: this training is limited to law enforcement officers, other public safety personnel within Connecticut, and members of the Department of Mental Health and Addiction Services Mobile Crisis Teams only. Individuals not meeting this criteria must email training@cablect.com to inquire about eligibility before registering for training.

I am registering: *

Just myself

Someone else/others from my agency

Myself & Others from my agency

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) officers per department per training. *

What month are you registering for? (Please note: you will need to submit a separate registration form if attempting to register individuals for more than one month). *

CIT Registration - February 2023 - Fairfield, CT

CIT Registration - March 2023 - Hamden, CT

CIT Registration - April 2023 - Hartford, CT

Does your department have a CIT coordinator? *

Yes

No

N/A

If yes, what is the name of the CIT coordinator? *

What is the CIT coordinator's email address?

Does your department have an embedded clinician? *

Yes

No

Unsure

Not applicable

If you are a police officer, please provide the name of your training supervisor.

If you are a police officer, please provide the email address of your training supervisor.

Participant Information

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

If you are a police officer, what is your POST-C ID number?

Add Another Participant

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

If you are a police officer, what is your POST-C ID number?

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

If you are a police officer, what is your POST-C ID number?

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

If you are a police officer, what is your POST-C ID number?

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

If you are a police officer, what is your POST-C ID number?

How will you be paying? *

Credit/Debit Card

Please invoice (click "pay by check" on next screen)

I have a registration code

Please provide any specific instructions for invoicing. If left blank, the invoice will be emailed to the individual completing registration.

Do you have a discount code for registration? *

Yes

No

If you have a registration discount code, please enter it here.

Please include any special instructions/information related to this registration, if needed.

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 wish to continue with registration.