Education Workshop/Conference Registration Form Submit Date:
Last Name: First Name:
Rank: Department:
Address: City: State: Zip:
Phone: Fax: Email:
Are you a CLEE Graduate? Yes No
Workshop: SELECT ONE PER REGISTRATION HERE Chiefs' In-Service-April 20-22 Public Records-"Release or Not"-May 18-19 Principle Based Leadership-June 3 Public Records-"Release or Not"-Sept. 7-8 Legal Update-Public Records-Sept. 23 Police Facilities-New & Renovation-Oct. 14-16 Personnel Records Management-Oct. 19-20 Media Relations with Rick Rosenthal-Oct. 26-27 Developing a Schedule of Records Retention-Nov. 6 DHF Legal Seminar-Employment Law Issues-Nov. 12 Creating Safe Learning Environments in Ohio Schools-Nov. TBD
Need an invoice? Yes No
Send confirmation/invoice to the attention of:
PO # (if applicable):
IF APPLICABLE TO THE WORKSHOP, PLEASE ANSWER THE FOLLOWING: Non smoking room: Yes No
If you are requesting double occupancy for another workshop attendee, please list roomate's name:
Bringing a spouse/guest? Yes No (Includes room and meals only, workshop not included)
Spouse/Guest Name:
Comments: