Waiting List Registration
Tactical Medicine
Tuesday, March 30 - Wednesday, March 31, 2021
8:00 AM - 5:00 PM
Location: LA HIDTA Training Center
Directions: 5801 E. Slauson Ave, Commerce, CA 90040


Free Class


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STUDENT INFORMATION * required
First Name *

Last Name *

Position/Title/Rank *

Phone Work: (include area code) *

Cell Phone: (include area code)

E-mail: *


HIDTA TASKFORCE MEMBER
Are you a taskforce member? 
Yes No

IDENTIFYING INFORMATION
Sworn Law Enforcement Officer
Crime / Intelligence Analyst 
Other 

(please provide details)

 

AGENCY / ORGANIZATION
Agency/Organization Name: 


Indicate your agency type *
Federal State Local
Military Other

Address: *

City: *

County: *

State:* 
  Zip code:*


SUPERVISOR INFORMATION
For Law Enforcement Status Verification
Full Name

Position/Title/Rank

Phone Work: (include area code)

E-mail:

 Credentials are required at event. Questions: info@lahidtatraining.org