Conference Registration Form

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Conference

Participant First Name

Participant Last Name

Title

Email

District/Organization

School Site

Address

Phone Number

Cell Phone

List Three Things You Wish to Get Out of This Conference (Optional):


PAYMENT
Your registration will not be confirmed until payment is received. All checks are payable to California School Resource Officers Association. Please make sure participant’s name is indicated on the check and/or accompanying documentation. Please complete the following information:

Check#

Please mail check to:
CSROA
31938 Temecula Parkway
Suite A 368
Temecula, CA 92592

Purchase Order#

REFUND/CANCELLATION POLICY
No refunds will be honored if cancellation made five days prior to the event. Cancellations must be sent to waynesakamoto@gmail.com. Substitutions are accepted.

I have read and understand the refund/cancellation policy. Please provide your initials here: