REGISTER ON-LINE FOR AN SDRTC PUBLIC AGENCY COURSE USING THIS FORM
MULTIPLE STUDENTS
Subject
STEP 1
    Select the Course- ONLY one course registration per form PLEASE
PUBLIC AGENCY COURSES (non-law enforcement)
- Interpersonal skills
- Professional Development		 - Supervisor and Management
- Technical and professional
STEP 2
   Select Course Dates
   Month-Day-Year Example 08-22-2005      Month-Day-Year Example 08-22-2005   
***Course Start Date ***Course End Date
Class or course number when available
 Example "Class 10"
STEP 3
   Enter agency contact information Required for multiple student enrollments
AGENCY
   SPELL OUT PLEASE- NO ABBREVIATIONS- THANK YOU!
FIRST name, MI, LAST name Rank or position
Agency contact person
***Contact
person email
This email field is REQUIRED . . . this it is
where the confirmation will be sent
Agency contact full address, City, State and Zip Code
***Contact
telephone
Area Code, Prefix and number (no parenthesis please) Example 858.550.0040
  EXT
Contact
fax
Area Code, Prefix and number (no parenthesis please)
STEP 4
   Multiple student registration-  ENTER student information
PLEASE COMPLETE ENROLLMENTS FOR ALL YOUR STUDENTS

Total number of spaces your agency is reserving for this course. Please complete all student information if known at this time. We will hold spaces without names, until 15 days prior to class start date.
STUDENT #1
 First NAME, MI and Last NAME
STUDENT #2
 First NAME, MI and Last NAME
STUDENT #3
 First NAME, MI and Last NAME
STUDENT #4
 First NAME, MI and Last NAME
STUDENT #5
 First NAME, MI and Last NAME
STUDENT #6
 First NAME, MI and Last NAME
How did you hear about us?
Click this box if you would like to
receive emails on SDRTC training
  
Student
enrollment
comments
  
STEP 5
   You will receive an email confirmation from SDRTC within 3-4 working days.
  Questions or problems with your online registration? Call us at 858-550-0040.
 
 

THANK YOU screen indicates your registration has been sent
 
IMPORTANT CREDIT CARD INFORMATION

PLEASE NOTE . . . ONLY AGENCY CREDIT CARDS ARE ACCEPTED FOR PAYMENT NO PERSONAL CREDIT CARDS PLEASE

If your agency is paying by credit card please fill out the above form and click "SEND" Then please call Janet at SDRTC, (858) 550-0040 ext 16 and provide her the details to include credit card number, expiration date, and the name on the card.

 
Thank you for choosing SDRTC for your training