Class Registration - Franklin Country Public Safety Training Center

Registration Cost

Price: $0.00

Class you are registering for:

Student Information

Name*

Title First Middle Last Suffix

Date of Birth*

Phone*

Email*

Enter Email Confirm Email

Training Announcement Email List

If you would like to be notified of future training opportunities at the Franklin County Public Safety Training Center, please check the disciplines that you are interested in, and you will be added to our training announcement email lists for the selected public safety disciplines. Law enforcement personnel must register using their official government email address.

Fire

EMS

Emergency Management

Law Enforcement (must be vetted LEO)

Address*

Street Address Address Line 2 City State ZIP Code

Department Information

Agency Representing*

If your agency is not listed, please select "Other / Not Listed" to enter your agency's information. If you are not representing a public safety entity, please select "Non-Association Member" and use "N/A" for any fields that do not apply to you.

Agency Name*

Please enter the name of the agency / department that you are representing.
If attending privately, please use "N/A".

Agency Address*

Street Address Address Line 2 City State ZIP Code

ORI

Required for classes that are restricted to law enforcement. Invalid entries will be rejected.

Financially Responsible Party

Please select who is financially responsible for your registration fee and any other applicable fees.

Agency

Other (Relief Association, etc.)

Individual (if attending privately)

Name of Financially Responsible Party (Relief Association, etc.)

Address of Financially Responsible Party

Street Address Address Line 2 City State ZIP Code

Billing Point of Contact (POC) Information

This is required for all courses, even those without registration fees, in the event there are "no shows" or "late withdrawals". If attending privately and not representing a public safety agency, please list yourself as the billing point of contact.

Billing POC Name*

First Last

Billing POC Phone*

Billing POC Email

Enter Email Confirm Email

Supervisor / Training Officer Information

The supervisor, training officer, or other person responsible for approving training requests within your organization.

Supervisor / Training Officer Name*

Title First Last

Supervisor / Training Officer Phone*

Supervisor / Training Officer Email*

Enter Email Confirm Email

Policies and Releases

Course Attendance Status*

If attending training privately, and not at the request of any public safety agency, the student acknowledges that he/she is in compliance with his/her agency rules and regulations regarding off-duty activities and also acknowledges that he/she is attending this course in an off-duty status for the purposes of insurance, liability, and workman's compensation and other work-related statutes and administrative regulations. Additionally, if attending on his/her own time, and not at the request of his/her agency, the student acknowledges that he/she is also financially responsible for any course tuition and fees associated with this training program. By completing this application, the student acknowledges this policy. Please indicate below whether you will be attending privately, on your time, or if you will be attending as a member of an organization and will be considered to be in an on-duty status during your participation in this training program.

Attending With Approval of Sponsoring Public Safety Agency

Attending Privately

Total

Select Payment Method

Credit Card

Invoice

Credit Card

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