Kane County Sheriff's Office

                                                Tactical Tracking Course Registration

                                       October11th 12th & 13th 2010

 

 

Course Date:

 

Course Location:

 

First Name ______________________Last Name 

(Please check spelling on name and print or type,  Your certificate will reflect whatever is placed in the name lines)

 

Department

 

Address

 

City  _________________________________  State  __________   Zip

 

Phone Number:  ____________-_________-_________________  

 

Fax:   ___________-__________-__________________

 

Email:   ______________________________________________________________________  

 

Emergency Notification Information:

 

Name:    _______________________________________________________________________ 

Relationship:  ___________________________________________________________________    

Address:   ______________________________________________________________________

Phone Number:   _________________________________________________________________

 

Shirt Size   M L XL XXL XXXL

 

 

Please Fax this form to 435-644-2069

 

Course registration fee is $300.00

 

Payment is required prior to October 1st 2008, No refunds will be provided after October 8th 2010.

Please make payment to the Kane County Sheriff’s Office.