REGISTER ON-LINE FOR AN CA POST CERTIFIED COURSE USING THIS FORM
MULTIPLE STUDENTS
Subject
ALL field marked in RED *** are mandatory
STEP 1
    Select the Course- ONLY one course registration per form PLEASE
SDRTC COURSE INFORMATION; CA POST CERTIFIED COURSES
- POST Domestic Violence
- POST Institute of Criminal Investigations		 - POST Sexual Assault
- Other POST courses
***
STEP 2
   Enter Course Start Date
   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 Registrations)
*** Agency
  AGENCY- PLEASE SPELL OUT- NO ABBREVIATIONS-
THANK YOU!
  
***Agency
contact
person
  
FIRST name, MI, LAST name
 Rank or position  
   
    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 (no parenthesis please)
Example 858.550.0040
  		 
   
 
***Contact
email
   This email field is REQUIRED . . . this it is where
the confirmation will be sent
  		 
 
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
course information from SDRTC via email 		 
Student
enrollment
comments
  
STEP 5
   Submit registration. 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