ATOA CONFERENCE REGISTRATION CONFERENCE REGISTRATION FORM Member Name First Last Member CLEST # Member's Email* Member's Phone*Agency NameAgency's name as registered with ATOA Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Agency Phone*Agency Website Senior Team Member Attending First Last Will you be attending Wednesday night's banquet?YesNoWe are offering several highly informative classes this year. Instructors set the class size therefore we fill the slots on a first come, first served basis. You may attend a maximum of TWO 8-hour courses or ONE 16-hour course. We will make every effort to get you into your preferred course(s) but due to the number of attendees, we cannot guarantee you will necessarily get your most preferred class. To help us, we are asking you to select your top 3 preferences in order followed by an alternate if those are not available. Once again, we appreciate your support and your understanding in this matter. ***The full class list is not yet available, however you can still register. We are working to complete this list and will have it ASAP.*** Choose your First Choice for a course:2022 Registration OpenClose Contact Gunfighter (8 Hours)Ambidextrous Carbine & Pistol (8 Hours)Chemical Munitions Instructor (8 Hours)Flashbang Instructor (8 Hours)Command, Control, & Leadership (16 Hours)SWAT/Patrol Hazardous Response to CBRNE/IED (8 Hours)Structure Dominance (16 Hours)Evolutionary Gunfighter (8 Hours)Advanced Sniper (16 hours)Choose your Second Choice for a course:2022 Registration OpenClose Contact Gunfighter (8 Hours)Ambidextrious Carbine & Pistol (8 Hours)Chemical Munitions Instructor (8 Hours)Flashbang Instructor (8 Hours)Command, Control, & Leadership (16 Hours)SWAT/Patrol Hazardous Response to CBRNE/IED (8 Hours)Structure Dominance (16 Hours)Evolutionary Gunfighter (8 Hours)Advanced Sniper (16 Hours)Choose your Third Choice for a course:Max of one 16-hour or two 8-hour total2022 Registration OpenClose Contact Gunfighter (8 Hours)Ambidextrious Carbine & Pistol (8 Hours)Chemical Munitions Instructor (8 Hours)Flashbang Instructor (8 Hours)Command, Control, & Leadership (16 Hours)SWAT/Patrol Hazardous Response to CBRNE/IED (8 Hours)Structure Dominance (16 Hours)Evolutionary Gunfighter (8 Hours)Advanced Structure Dominance (16 Hours)Advanced Sniper (16 Hours)Choose another alternate course.Max of one 16-hour or two 8-hour total. Fourth choice if others aren't available.2022 Registration OpenClose Contact Gunfighter (8 Hours)Ambidextrious Carbine & Pistol (8 Hours)Chemical Munitions Instructor (8 Hours)Flashbang Instructor (8 Hours)Command, Control, & Leadership (16 Hours)SWAT/Patrol Hazardous Response to CBRNE/IED (8 Hours)Structure Dominance (16 Hours)Evolutionary Gunfighter (8 Hours)Advanced Sniper (8 Hours)How do you prefer to pay for your conference registration? Pay now after submission. Rerouted to PayPal Pay by invoice (ATOA emails invoice) Pay at conference Once you submit this form you will be transferred to PayPal to render payment. If you or your agency plans on paying by mail or at the conference then after submitting the form just exit out of the PayPal link. Thanks ATOA Admin!CAPTCHA HAVE QUESTIONS? CONTACT US