Pandemic Preparedness Awareness Course CA-036-RESP

Registration Form

Either download and fill out the Registration Form (PDF Document), or fill out the form below to register for the Pandemic Preparedness Awareness Course. Note that all the fields marked with * are required.

Cancellations must be received in writing ten days prior to training to avoid a $75.00 cancellation fee. All trainings are subject to cancellation with full refund if minimum attendance is not met.

If you experience any problems, or need assistance please contact ToucanEd at (888) 386-8226, or
e-mail .

* Select training

* First Name:

* Last Name:

Job Title:

* Please select the button that applies to you:	I am a Sworn CA Peace Officer What's this?
	* Officer POST ID#: * We will contact you for your payment information.
	I am not a Sworn CA Peace Officer
	* We will contact you for your payment information.

* Business or Organization Name:

* Address:

Address 2:

* City:

* State:

* Zip Code:

* Work Phone Number:

* E-Mail Address:

* Confirm E-Mail Address:

Special Needs?