Domestic Violence Registration Form

Domestic Violence Registration Form

Through cooperative agreements with the U.S. Department of Justice, Office on Violence Against Women (OVW), the National Sheriffs' Association offers:

Tuition-Free Training

Faxable Registration Form (PDF format)

Please complete and return this form as soon as possible to secure your place!

For more information, contact: S'Neta Benefield, Program Coordinator, 800-424-7827 ext. 336.

Participants are responsible for their own transportation, meals, and lodging.

These programs are federally funded by a grant from the U.S. Department of Justice, Office of Justice Programs, Office on Violence Against Women

*	*denotes required fields*
*	Program:
*	Name:
	Title:
*	Agency/County:
*	Address:
*	City:
*	State:
*	Zip Code:
*	Phone:
	Fax:
*	Email: