Department Inquiry Form

4248 Liberty Ave. Vermilion, OH 44089

(440) 453-2101

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Training & Events

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About
Contact
Training & Events

Department Enrollment Form

Please complete the form below. We will review your information and send an invoice to the contact listed below

Billing Contact Information

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

First Name

Last Name

Phone #

Billing Address

City

Preferred Method of Communication

Phone Call Text Message Email

Participant Information

Please provide complete information for each officer being registered, as this will be used to communicate essential training details and protocols

Which course(s) are you enrolling your department in?

4/14 - 4/15: Tier 1, Introduction to DT 5/12 - 5/13: Tier 2, Basic Instructor Cert Course 6/23 - 6/24: Tier 1, Introduction to DT 7/16 - 7/17: Tier 2, Basic Instructor Cert Course 8/13 - 8/14: Tier 1, Introduction to DT 9/10 - 9/11: Tier 2, Basic Instructor Cert Course 10/8 - 10/9: Tier 1, Introduction to DT 10/27 - 10/28: Tier 2, Basic Instructor Cert Course 11/10 - 11/11: Tier 1, Introduction to DT 11/19 - 11/20: Tier 3, Advanced Instructor Cert Course Recertification Tier 2 Recertification Tier 3

How many officers are you registering?

List the Full Name, Email Address & Phone Number of Each Officer You Would Like to Enroll

How Did You Hear About Us?

Facebook

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4248 Liberty Ave.
Vermilion, OH 44089

Email: admin@bluelinetacticscle.com
Phone: (440) 453-2101