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 S 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.