PASS Training Registration

Please complete the following information and click the "Register" button. Required information is marked with an asterisk (*).

*Name:	(enter full name)
Organization:
Title:
*Phone:	(include area code)
Fax:	(include area code)
E-mail:
*Address:
*City:
*State:
*Zip:
Comments:

Cost

You will be billed based on the total number of attendees.

$175/person - PASS Training, Defensive Driving & Maltreatment Awareness

$50/person - PASS Re-certification

Important: RTAP will cover PASS training only. Defensive Driving and maltreatment/Abuse training must be paid by the transit provider.

Send Checks To:
DTA
C/O Brenda Schweitzer
Brookings Area Transit Authority
418 Western Ave.
Brookings, SD 57006

*Which time frame? (NOTE: will need to register for each session separately)

	December 27-29 - PASS Certification, Defensive Driving and Maltreatment & Abuse Brookings Area Transit Authority 418 Western Ave. Brookings, SD
	December 28 - PASS Re-certification Brookings Area Transit Authority 418 Western Ave. Brookings, SD

If you have any problems with the above form, please e-mail webmaster@dakotatransit.org or call (701)-866-3185.

Dakota Transit Association (DTA)

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