CABLE CIT Training Registration

September 19-23, 2022

Yale University - West Campus

Orange, CT

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.

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? *

CIT Registration - September 2022 - Yale University

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?

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?

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.

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 *

Rank (if applicable)

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

Job Title/Position *

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.

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.