4248 Liberty Ave. Vermilion, OH 44089

Individual Enrollment Form

Please complete the form below. Since our curriculum is compliant with OPOTA standards, include your supervisor’s information so your department may submit for state reimbursement. If you prefer to register independently and not through your department, please indicate that below.

Individual Officer's Contact Information


Billing Contact Information

The invoice will be electronically sent and addressed to the individual listed below unless requested otherwise