CABLE CIT Training Registration

DATES & LOCATIONS

April 15-19, 2024 - Danbury Police Department - Danbury, CT - Class Full

May 6-10, 2024 - Hartford Police Academy - Hartford, CT

All courses 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.

Law Enforcement/Public Safety Personnel - $189.00/per attendee

Mobile Crisis Clinicians - Please contact Erika Echevarria (Erika.Echevarria@ct.gov) or Dana Begin (Dana.Begin@ct.gov) for registration code before registering.

Please note: Due to course capacity limitations, we are currently limiting registrations to five per agency, per month.

__________________________________________________________________________________________

I am registering: *

Just myself

Someone else/others from my agency

Myself & Others from my agency

How many people are you registering? (limit 5 per agency, per month) * 🛈

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 - April 15-19, 2024 - Danbury, CT

CIT Registration - May 6-10, 2024 - Hartford, CT

Type of Registration *

Law Enforcement

Mobile Crisis

Other

First Name & Last Name (individual completing registration) *

Name of Agency/Organization *

Agency Address *

City *

State/Province *

Zip/Postal Code *

Email Address *

Work Phone *

Participant Information

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

Add Another Participant

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

Add another participant?

First Name - Participant *

Last Name - Participant *

Participant Email Address *

Job Title/Position *

Rank (if applicable)

Agency Information

Name of Department Training Officer

Email - Department Training Officer

Does your department have a CIT coordinator? *

Yes

No

Not applicable

Name of CIT Coordinator

Email - CIT Coordinator

Does your department have a Peer Support coordinator? *

Yes

No

Not applicable

Name of Peer Support Coordinator

Email - Peer Support Coordinator

Does your department have an embedded clinician? *

Yes

No

Unsure

Not applicable

Name of Clinician

Email of Clinician

Payment Information

Do you have a discount code for registration? *

Yes

No

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

How will you be paying? *

Online payment - Credit/Debit Card

Pay by invoice or Pay by PO (click "pay by check" on next screen)

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.

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.