PUBLIC SAFETY ALLIANCE REGISTRATION FORM FOR:
INTERDICTION OPERATIONS COURSE
Monday, February 25, 2019
0800 - 1700
Location: SOG Training Center
Directions: 15820 Whittier Blvd., Suite K, Whittier, CA 90603

Sculpting Future Interdiction Operators...HERE!



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Prerequisite: Students must be full or part time, commissioned peace officers, reserve or acting under the umbrella of a public safety agency.

Course Description: Learn how drug dealers and traffickers use local hotels/motels, buses, trains, and storage facilities to further their criminal business. In this hands-on operational course, Subject Matter Experts help hone your craft in the field, while learning the intricacies of interdiction operations.  Students learn to master the consensual encounter and gain critical information that lead to great cases of all types! 


Who Should Attend: Patrol Officers, Detectives, Agents, Arson Investigators, Auto-theft personnel

Dress Code: Uniform, business casual or the uniform of the day

Lodging and Meals: Students are responsible for their own hotel and meals

Contacts: If you are running late to the course or have other problems or questions regarding this course, please contact:
Program Manager, Nick Ramos at: nickramos@trainPSA.org or (505) 573-9672.
PSA office, at: info@trainPSA.org

APPLICANT INFORMATION *required 
Name will appear on certificate of completion
First Name: 
*

Last Name: *

Position/Title/Rank: *

Agency/Organization Name: *

State (2 characters e.g. TX): *

COMMENTS
Provide any specific information regarding registration
 

 

CONTACT INFORMATION
(for registration purposes only)
Phone Work: (include area code) *

Mobile Phone: (include area code)

E-mail: *

Alternate E-mail Address:

TRAINING COORDINATOR / SUPERVISOR
Full Name

Phone:  (e.g. ###-###-#### - ext) 

Training Coordinator Email Address: (if applicable)
(Will receive copy of confirmation)

AFFILIATION INFORMATION*
Active STC Members may attend this course and full contractual obligations
will apply with PSA. Certified STC Member Agency Info must be provided.


 I am NOT an STC Member - $135

 I am an active STC Member
        Certified STC Agency: 
Note: All STC associations will be confirmed prior to
the course.

TOTAL COST

 


Method of Payment:
 Check / Pay at Door    Credit Card

Credit Card Information (all fields required)
Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2019)
Security Code

 

Cardholder's Billing Street Address

Billing City

Billing State
(2-digit state code)
Billing Zip Code

Billing Country
(2-digit country code)
I AGREE TO THE FOLLOWING HOLD HARMLESS RELEASE AGREEMENT

I know that participation in some of the Public Safety Alliance projects can be potentially hazardous and I agree that my participation in this activity is entirely voluntary. I know I should not enter this activity unless I am medically able to participate and completing this PSA process attests that I am medically fit to participate.

  1. I fully recognize and appreciate the dangers and hazards inherent in the activity, which I have had a full opportunity to investigate through any questions I wished to ask of the responsible person(s). I agree to assume all the risks and responsibilities arising out of my participation in the activity and any other activities undertaken as an adjunct thereto.
  2. That in consideration of my participation in this activity, I hereby waive, release and forever discharge and agree to indemnify and hold harmless Public Safety Alliance and its trustees, officers, employees and agents, of and from any and all action, causes of action, suits, damages, claims and demands whatsoever, which the undersigned, may not have or may acquire arising from or in any way relating to the undersigned’s participation in the aforementioned event/activity.
  3. I recognize and understand that Public Safety Alliance does not provide any Accident or Medical Insurance.
  4. I have obtained the age of 18 and am legally competent to understand this document and agree to this release as my own free act.
  5. I hereby consent to any publicity, including the use of my name and likeness, in connection with my participation in this activity for Public Safety Alliance publications.
  6. I understand that Public Safety Alliance reserves the right to cancel or reschedule the course with no prior notification to students. Submitted registrations will be returned to the payee in full.
  7.  I have read and understand the terms of this Release and agree to all terms and conditions.

Your email provider MAY block any sender who is not in your address book/contact list. In order to ensure you receive your certificates, course materiel and course notifications add these addresses BEFORE registering: NickRamos@trainPSA.org; Info@trainPSA.org; Training@trainPSA.org