On-Line Registration

First Name:		Middle Initial:
Last Name:		Date of Birth:
Social Security Number:		DCJS #99:
Physical Address:
City:	State:   Zip Code:
Home Phone:	Work Phone:   Cell Phone:
E-mail Address:	Class Date:
Course of Instruction
01E, UnArmed Security Officer ($75) 32I, Personal Protection Speacilist In-Service ($150) 02E, Private Investigator ($450) 40I, Bail Bondsman ($150) 05E, Arrest Authority ($100) 44I, Bail Enforcement Agent In-Service ($150) 06E, S.C.O.P. ($250) 07R, Handgun Requalification ($50) 07E, Handgun Training ($125) 08R, Shotgun Requalification ($25) 08E, Shotgun Training ($50) 09R, Advanced Handgun Requalification ($100) 09E, Advanced Handgun Training ($250) Baton with OC ($100) 32E Personal Protection Specialist ($550) HR-218 ($50) 40E, Bail Bondsman ($500) Patrol Rifle ($250) 44E, Bail Enforcement Agent ($500) Additional Weapon ($25) 01I, UnArmed Security Officer In-Service ($50) Defensive Tactics ($150) 02I, Private Investigator In-Service ($100) First-Aid, CPR, AED ($75) 06I, S.C.O.P. In-Service ($100)
Payment Information
Card Type: select Visa Master Card Discover American Express Card Number: Name on Card: Exp. Date: Month select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec   Year select 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Security Code:
Have you seen the List of Acceptable Documents for Verifying Legal Presence / Name change? You must bring with you (2) forms of identification. (Driver's License & Social Security Card is preferable) No refunds! Only change class dates within one (1) week notice. Click Here to View No Yes
I certify that I have read the Cancellation Policy.