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Crisis Management Foundations Course Registration
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Dallas, TX - November 13&14,2020 ($500 Does NOT include lodging or meals)
Please Note: If the minimum number of participants required to operate any course is not reached 45 days prior to a published class start date, the course will be rescheduled and you will be notified. You will then have the option of applying all fees to a rescheduled or different course option. If you choose not to re-schedule, all refundable fees will be returned to your account. Please wait for final course confirmation before scheduling travel.
Name
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First
Last
Phone
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Email
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Organization/Employer
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Website / URL
Staff Position or Organization Role
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Countries of Primary Operation
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Attending with Crisis Management Team?
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Yes
No
Emergency Contact Name
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First
Last
Emergency Contact Email
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Emergency Contact Phone
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Relationship
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Member or Pastoral Care Contact Name
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First
Last
Member or Pastoral Care Contact Number
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Member or Pastoral Care Contact Email
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Please briefly describe any prior critical incident or trauma experiences
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If none, type N/A
List previous crisis management, security, law enforcement, or military training
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If none, type N/A
Comments, questions, or concerns
How did you hear about this course?
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Are you commuting to the course?
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Yes
No
Excelsior Course Cost
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Course Fee $500 (Includes a $300 non-refundable registration fee due with submission)
Does not include meals or lodging, which can be obtained locally. Light refreshments will be provided. Payment remainder due 30 days prior to course start date.
Paying by credit or debit card?
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Yes
No
Stripe Credit Card
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Card
Name on Card
Other Payment Methods
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Personal Check
Organization Check
Course registration is not complete until final payment is received. Please memo check with "Excelsior Registration Fee" and mail to : PO Box 270410, Kansas City, Missouri, 64127
A minimum non-refundable $300 registration fee is required to reserve a course. Remaining course fee balance can be paid immediately or no later than 30 days prior to course start date.
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I Agree
Total
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$ 0.00
Phone
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