GRIN: Assisting Individuals and Group Crisis Intervention
May 19 - 21, 2026
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*
These fields are required
1
Your Contact Info
Please fill out your details and press Continue.
First Name
*
Last Name
*
Email
*
Confirm Email Address
*
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2
Additional Registrants
Additional personnel you list below will receive an email to complete their
Registration Details
.
Guest
1
First Name
*
Last Name
*
Email
*
Guest
1
First Name
*
Last Name
*
Email
*
After completing this form, emails will be sent to everyone in your group to complete their information.
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3
Your Registration Details
Cell Phone
*
REQUIRED FORMAT: 000-000-0000
Agency Name
*
Please do not abbreviate.
Your Position
*
(e.g.) Deputy, Police Officer, Firefighter, Detective, Social Worker, Sergeant, Dispatcher, Retiree, Spouse, etc...
Do you need California POST Credit?
*
Yes
No
Your POST ID Number
*
Taking class for EMSA?
*
Yes
No
(California Emergency Medical Services Authority)
Address 1
Example: 405 Main Street (Avenue, Lane, Circle, Trail, etc...)
Address 2
Example: Apt 8, Suite 405, Unit 10, etc...
City/Town
State/US Territory
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Deleware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip Code
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4
Billing Information
This section pertains to this specific transaction today (paying or not paying)
Answer
NO
if you are registering and paying with a
Credit Card
today.
Answer
YES
if you are registering and
NOT
paying today.
Is your agency funding this training and paying on a later date?
*
Yes
No
If your agency requires you pay for this program and later seek reimbursement from them, select 'No'.
Billing Contact NAME
*
Billing Contact PHONE
*
REQUIRED FORMAT: 000-000-0000
Billing Contact EMAIL
*
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5
Discount Code (if applicable)
Discount Code
(if applicable)
Not all programming is eligible for a discount code.
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