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2. First Name*
3. Last Name*
5. Phone*
6. Email*
8. Number of Participants
9. Location

   Please specify if class will be taught at the PD or another location (you will need to supply a computer, HDMI cable, TV or Overhead projector, and speakers).

11. Which classes would you like to have taught?*

    1. CRASE (Civilian Response to Active Shooter Events) (2.5 hours)
    2. STB (Stop the Bleed) (1.5 hours)
    3. Realtor Safety Training (1 hour
    4. Bank Robbery Training (1 hour)
    5. One Pill Can Kill (1 hour)
    6. Protecting Our Youth in a Digital World (for Parents: WARNING - Adult Content) (1 hour)
    7. Fraud and Scam for the Elderly (1 hour)
    8. First Aid and Emergency Preparedness (1 hour)
    9. CPTED (Crime Prevention for Environmental Design) (2 hours)
    10. The Truth about Drugs (Target Audience:  13yoa and up) (1 hour) 
    11. Cybersecurity (1 hour) 
13. Are you wanting to work with us on hosting a class?  Or just wanting to be made aware of when we are offering the next one?*

    1. Hosting
    2. Next Class Offering
15. Additional Information
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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