08-2026 PCIS Registration

Louisiana Post Critical Incident Seminar 08-2026

Event Dates & Location: October 19 - 21 , 2026, Forest Hill, LA
Name:*

First NameLast Name
Personal Email:*
example@example.com
Personal Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Cell Phone Number:*
Please enter a valid phone number.
Role During PCIS*
Specific Role of Other PCIS Member
Shirt Size:*
All shirts are unisex.
Male or Female:*

MaleFemale
Please inform us of any food allergies or dietary restrictions:
Do you have problems walking up or down stairs?*

YesNo
Will you need lodging provided?*

YesNo
Which nights will you be staying with us?*

Sunday NightMonday NightTuesday NightNo Nights, I'm LocalOther
What is the best time to contact you by phone?*

MorningAfternoonEvening
Do you have Military Experience?

YesNo
Spouses are encouraged to attend. If attending with a spouse (SPOUSE will NEED to REGISTER SEPARATELY as well, if haven't already), please provide their name here:
If spouse is attending, they will need to complete a separate registration form.
Please provide the date and a brief description of the critical incident in which you were involved. If you are attending as a spouse, briefly describe your officers critical incident affect on you. (example: fatal shooting, incident with death of children, line of duty death of co-worker, etc.)*
Agency/Department Name:*
Agency/Department Phone Number:
Please enter a valid phone number.
Agency Email Address:
example@example.com
Agency/Department contact

First NameLast Name
Agency Mailing Address:

Agency Street Address

Agency Street Address Line 2

Agency CityAgency State / Province

Agency Postal / Zip Code
Parish in which you work:*
Important Notice: This seminar is funded through private donations, although no cost is extended to registered participants, LA PCIS is charged whether you show up or not. When you register, a portion of those funds is committed on your behalf. If you do not attend, these resources are lost and cannot be recovered. By clicking below you are acknowledging that you understand that two weeks prior to the seminar all registration costs become non-refundable. Please register only if you are fully committed to attending. Thank you!*

I have read and understand the cancelation policy.
If you have any questions, please call Douglas Thompson, Program Coordinator, at:

225-288-8541 or 225-925-6224
Should be Empty:

Louisiana Post Critical Incident Seminar 08-2026

If you have any questions, please call Douglas Thompson, Program Coordinator, at: