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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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:2024 Registration OpenCLOSED-Negotiations (16 Hour Class)Command, Control, & Leadership (16 Hour Class)Critical Incident For Patrol (16 Hour Class)Situational Movement Solutions (16 Hour Class)CLOSED-Intro To Methods Of Entry (16 Hour Class)Sniper (16 Hour Class)Practical Shooting From Concealment (8 Hour Class)Chemical Instructor (8 Hour Class)Distraction Device Instructor (8 Hour Class)Law Enforcement Edged Weapons (8 Hour Class)Performance Pistol For Patrol (8 Hour Class)Red Dot Pistol Operator (8 Hour Class)Pistol / Rifle Gunfighter (8 Hour Class)NVG (8 Hour Class)Choose your Second Choice for a course:2024 Registration OpenCLOSED-Negotiations (16 Hour Class)Command, Control, & Leadership (16 Hour Class)Critical Incident For Patrol (16 Hour Class)Situational Movement Solutions (16 Hour Class)CLOSED-Intro To Methods Of Entry (16 Hour Class)Sniper (16 Hour Class)Shooting From Concealment (8 Hour Class)Chemical Instructor (8 Hour Class)Distraction Device Instructor (8 Hour Class)Law Enforcement Edged Weapons (8 Hour Class)Performance Pistol For Patrol (8 Hour Class)Red Dot Pistol Operator (8 Hour Class)Pistol / Rifle Gunfighter (8 Hour Class)NVG (8 Hour Class)Choose your Third Choice for a course:Max of one 16-hour or two 8-hour total2024 Registration OpenCLOSED-Negotiations (16 Hour Class)Command,Control, & Leadership (16 Hour Class)Critical Incident For Patrol (16 Hour Class)Situational Movement Solutions (16 Hour Class)CLOSED-Intro To Methods Of Entry (16 Hour Class)Sniper (16 Hour Class)Shooting From Concealment (8 Hour Class)Chemical Instructor (8 Hour Class)Distraction Device Instructor (8 Hour Class)Law Enforcement Edged Weapons (8 Hour Class)Performance Pistol For Patrol (8 Hour Class)Red Dot Pistol Operator (8 Hour Class)Pistol / Rifle Gunfighter (8 Hour Class)NVG (8 Hour Class)Choose another alternate course.Max of one 16-hour or two 8-hour total. Fourth choice if others aren't available.2024 Registration OpenCLOSED-Negotiations (16 Hour Class)Command, Control, & Leadership (16 Hour Class)Critical Incident For Patrol (16 Hour Class)Situational Movement Solutions (16 Hour Class)CLOSED-Intro To Methods Of Entry (16 Hour Class)Sniper (16 Hour Class)Shooting From Concealment (8 Hour Class)Chemical Instructor (8 Hour Class)Distraction Device Instructor (8 Hour Class)Law Enforcement Edged Weapon (8 Hour Class)Performance Pistol For Patrol (8 Hour Class)Red Dot Pistol Operator (8 Hour Class)Pistol / Rifle Gunfighter (8 Hour Class)NVG (8 Hour Class)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 Δ HAVE QUESTIONS? CONTACT US
