Registration Form

Please complete the form below. To pay by invoice, choose the “check/invoice” box and an invoice will be emailed to the address provided.

All registrations are non-refundable and payment is due on, or before, the designated training date.

Class Registration Information:

the excellent leader

august 18, 2023

Lafayette Police department Training Center

1301 South Street Lafayette, IN 47901

8:00 am - 4:00 pm EST

Name

First Name

Last Name

Email

Department

Phone

(###)

###

####

Names of Participants*

Please list names of all participants being registered for the course.

Enrollment Fees

I acknowledge that class enrollment fees are non-refundable and due in full by the selected training date unless the event is cancelled by Lion Shield, LLC.

The Excellent Leader August 18, 2023

Location: Lafayette Police Department Training Center 1301 South Street, Lafayette, IN 47901 Time: 8:00 am - 4:00 pm EST

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