Western Regional Joint Threat Assessment Training - Registration Form

Please fill out your contact information below. You will enter payment details on the next page.

Contact Information

First Name

Last Name

Email Address

Phone Number

Organization

Title Preferred

Address 1

Address 2

City

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Additional Information

Will you be attending the Wednesday evening social event?

Yes No

Please mention here any dietary restrictions you may have:

Virtual Attendance Only?

Yes No

Are you a public employee of Montana?

i.e. police, fire fighters, teachers, etc. Employment will be verified. If you are not sure if you qualify for the discounted rate please email wrjtat@montana.edu for more information.

Yes No

Are you an ATAP member?

Yes No

If yes, what chapter do you belong to?

Would you like to take the CTM Exam?

Yes

Payment

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Western Regional Joint Threat Assessment Training - Registration Form

Will you be attending the Wednesday evening social event?

Please mention here any dietary restrictions you may have:

Virtual Attendance Only?

Are you a public employee of Montana?

Are you an ATAP member?

If yes, what chapter do you belong to?

Would you like to take the CTM Exam?

Total:

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