REGISTER: LONGVIEW

ONLINE REGISTRATION:

FRIDAY, NOVEMBER 21, 2019 8:00AM-5:00PM

FALL CONFERENCE: EAST TEXAS

LONGVIEW EXHIBIT BUILDING

LONGVIEW, TEXAS

$100 First Department Attendee & $50 each additional

FREE for 911 dispatchers with any paid department attendee!

50% off for full volunteer-staffed departments.

Register your department to attend this conference by filling out the form below.

PAYMENT IS NOT REQUIRED AT THIS TIME; YOU WILL BE INVOICED VIA EMAIL.

Name:

Email:

Phone:

First Responder Field

Department/Agency:

How did you hear about us?

Number of attendees (non-dispatchers):

Number of 911 dispatcher attendees:

Please list the names of any TCOLE credit eligible attendees (for TCOLE certificates):

Do you currently have a peer support program?

Yes

Have you or your department participated in a previous conference?

Yes

Check any other interests:

Peer Support Department Training

RSVP list for Peer Support Networking Luncheons

Minding the Marriage First Responder Retreats

Comments:

Staying overnight?

I need discount hotel options