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Class Registration

Fill out the form below to register for the following class.

Course Name: Intermediate Child Abuse

Start Date: 7/10/2017

Class Location: Plano Police Department

Address: 4912 14st St Plano

Facilitator: Alex Bastida

Contact Email: abastida@plano.gov

Seats Available: 37

Free (Non-Consortium Agencies: $100)

419

Department/Agency

Do you have a TCOLE PID Number?

TCOLE PID #*

First Name*

Last Name*

Student Email Address*

Confirm Student Email Address*

Name of Person or Agency to be Billed*

Address of Person or Agency to be Billed*

City, State and ZIP of Person or Agency to be Billed*

You have successfully submitted your registration.