2026-2027 RETREAT Registration Form
Please fill out the top section of the form fully to register for the desired retreat. NOTE that payment can be made today or at a later date via check, purchase order, etc. Please mark which option is appropriate in the lower section of this form before hitting the SUBMIT Button.
Student Name
First Name
Middle Name
Last Name
Email
example@example.com
RETREAT Desired
Please Select
Wellness Refresh and Recharge 8/7/26-8/9/26
PEER Support 8/31/26-9/2/26
Leadership and Command Staff 10/2/26-10/4/26
Women in Public Safety 10/18/26-10/20/26
Trauma and Resiliency 4/12/27-4/14/27
Relationship Re-Engage 6/11/27-6/13/27
Team Building 7/16/27-7/18/27
Peer Support 8/11/27-8/13/27
Current Department or Agency
Contact Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Comments
Submit Application
PAYMENT OPTIONS- Please Choose One of the Options Listed Below
prev
next
( X )
Submit Registration with Future Payment Via Check or Purchase Order
Free
$
Free
Department Paid Spot ($1000 plus GRT)
$1,076.25
$
1,076.25
Individual Paid Spot- Self Sponsored ($500 plus GRT)
$538.13
$
538.13
Group Discount- Department Paid Spot ($800 plus GRT)
20% off
$861.00
$
861.00
Entire Team ($6000 plus GRT)
$6,457.50
$
6,457.50
Sponsored or Scholarship Spot
Free
$
Free
Credit Card
Should be Empty: