1. Name          
2.
Agency Name

3.
Address

4. Contact telephone
5. Course title
Date (Please submit which date)
6. Must list E-mail address

7.
Please print this page before submitting:
(This confirms registration and equipment list needed for class)

Course: Intermediate Use of Force Training (reported as 2107 with TCLEOSE)
Tuition: $25.00
Start/End Dates: Feb 18-19 or May 13-14 or Aug 19-20 or Nov 18-19, 2010 (16-hrs)
Start Time: 8:30 AM
Room#: TBA
Dress: Clothing suitable for classroom lecture
Material to Bring:
     Pen and paper
     TCLEOSE PID# (is required for credit)