Online Registration

To register online, please complete the following form. All online registrations are handled through Paypal.

PLEASE NOTE: Early registration period ends on Saturday, August 31, 2019 at which time the registration rate becomes $250.00 . ALL REGISTRATIONS END ON Monday, October 14, 2019

The form below is designed to handle SINGLE-PERSON REGISTRATIONS ONLY. .

Please fill the form below.

First Name:
Last Name:
Agency:
Email Address:
Home Address:
City:
State: Zipcode:
Please indicate the type of registration preferred:


IF YOU WISH TO PARTICIPATE IN THE ACTIVE SHOOTER WORKSHOP ON THURSDAY, OCT. 24TH PLEASE CHECK HERE Yes No

PLEASE NOTE: ONLY THE FIRST 32 REGISTRANTS WILL BE ACCEPTED INTO THE ACTIVE SHOOTER WORKSHOP

Please Enter Text Below:



This helps in preventing automated submissions

(PLEASE NOTE, ONLINE REGISTRATION IS COMPLETED ONLY AFTER USING CREDIT/DEBIT CARD AT PAYPAL.)


For more information, please feel free to contact the following:

SALLY THOMASON, CONFERENCE CHAIR
280 River Road, 105A
Piscataway, NJ 08854
732-469-2690
mzst101@aol.com

We look forward to your participation and attendance.