Group Crisis Intervention (CISM)
October 31 - November 1, 2024
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1
Your Contact Info
The person named in this section is considered an attendee.
First Name
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Last Name
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Email
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Confirm Email Address
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Cell Phone
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REQUIRED FORMAT: 000-000-0000
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2
Cost
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$249.00
– Program Price
$249.00
$249.00
– Program Price
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3
Your Registration Details
Agency Name
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Your Position
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(e.g.) Deputy, Police Officer, Detective, Social Worker, Sergeant, Dispatcher, etc...
Address 1
Example: 405 Main Street (Avenue, Lane, Circle, Trail, etc...)
Address 2
Example: Apt 8, Suite 405, Unit 10, etc...
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Washington D.C.
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4
Payment
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50% Deposit
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