Online Training Registration

Your Contact Information
Name *
Job Title *
Email *
Phone *
Fax


Organization Information
Organization Name *
Street Address *
Town *
State *
Zip *
Country *
Type of Agency *


Seminar/Training Information
Date(s) of Seminar
Location of Seminar
Town, State of Seminar


Participant Information
Verbal Training - $400.00/person
# of SlotsParticipant Name(s) (separated by comma)


Basic Physical Training - $400.00/person
# of SlotsParticipant Name(s) (separated by comma)


Instructor Certification or Recertification - $450.00/person
# of SlotsParticipant Name(s) (separated by comma)


Additional Information
Comments
How did you hear about us?
Other:
How would you like to pay?  Credit Card (online) Check  Purchase Order


Final Step
By clicking the "SUBMIT" button, you agree to the terms and conditions of the training. Click here to view terms.


Our Trainings
JAN. 04, 2018
BELLE MEAD, NJ
JAN. 09, 2018
TOTOWA, NJ
JAN. 10 - 12, 2018
LAKE WORTH, FL
JAN. 10, 2018
TOTOWA, NJ
JAN. 17 - 19, 2018
CHILLICOTHE, OH
View More Trainings
A Word From You
"I want to give a huge thanks to Kirby Jones who trained me on how to effectively train staff in my division. I can't say enough how passionate and thorough he is with training. I felt comfortable giving my first training and knew that ..."
D.T. - Manassas City Public Schools