Please complete the form below to register for CCMSTC.

Course tuition, funded by the HQ AF/AI, covers breakfast, lunch, and course materials. Lodging will be coordinated by Flatter, Inc. for all attendees via this registration form, but will be paid by the attendee (covered by TO). Additional information on the seminar, the Smart Center, and the Presidential Inn is available from the CCMSTC Course Manager, Ms. Lindsay Walter at lindsay.walter@flatterinc.com

First Name

Middle Initial

Last Name

Suffix

Name for Nametag

Rank

Title

Agency/Organization

Office Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Office Number

Email Address

Personal Cell, for use only for weather delay/cancellation to contact attendee directly

Please list any dietary restrictions and/or special needs:

Primary Staff POC

Primary Staff POC Name

First Name

Last Name

Primary Staff POC Title

Primary Staff POC Phone

Primary Staff POC Email

Spouse Information

Due to COVID-19, spouse participation in CCMSTC 21A will be conducted virtually through Zoom for Government. Please provide the following information if your spouse will be participating so we can share further instructions for virtual course access.

Title

Spouse Name

Spouse Email Address

Accommodation Information

Will you require lodging?

Lodging will be at the Presidential Inn on Joint Base Andrews.

Date Arriving

YYYY

Time Arriving

Date Departing

YYYY

Time Departing

CCMSTC 21A Attendee Registration

Please complete the form below to register for CCMSTC.