CHP Home page
NOTE: All fields on the form below must be filled out. All numbers must be entered (even if the number is "0"). Click the Check Box at the end of this form to verify you have entered your information accurately, and have read and understood the agreement at the bottom of the form.
SECTION 1
Explorer Post Number      
Sponsoring Agency
Advisor Name
Phone Number
Email Address
Mobile Phone Number
SECTION 2
Number of Explorers Attending

X $125.00
Total
Grand Total
Number of Advisors Attending

X $90.00
Total
AGE OF PARTICIPANTS:   Exploring is a Learning for Life's career - education program for young men
and women age 15 (and who have completed eight grade) to 20 years old.
SECTION 3 ADVISOR T-SHIRTS (REGISTERED ADVISORS ONLY)
SMALL QUANTITY   Each field needs a number - put "0" in the space if there are no shirts of that size needed.  
MEDIUM QUANTITY  
LARGE QUANTITY  
X-LARGE QUANTITY  
XX-LARGE QUANTITY  
XXX-LARGE QUANTITY   TOTAL
SECTION 4 EXPLORER T-SHIRTS
SMALL QUANTITY   Each field needs a number - put "0" in the space if there are no shirts of that size needed.  
MEDIUM QUANTITY  
LARGE QUANTITY  
X-LARGE QUANTITY  
XX-LARGE QUANTITY  
XXX-LARGE QUANTITY   TOTAL
SECTION 5 FRIDAY & SATURDAY MEALS
Friday Lunch & Dinner, Number Attending
Saturday Lunch & Dinner, Number Attending
SECTION 6 EVENT SELECTION
Events and times for this competition will be prescheduled.
Please indicate which of the following events your post will be participating in.
1. Felony Stop (one four person team per post)
2. DUI Stop (one two person team per post)
3. Building Search (one four person team per post)
4. Officer Needs Assistance (one two person team per post)
5. 5150 Scenario (one two person team per post)
6. Domestic Violence (two/two person teams per post)
7. Crime Scene Investigation (one two/four person team per post)
8. Traffic Stop / Court Testimony (one person per team per post)
9. Suspicious Person Scenario (One two person team per post)
10. Shooting Skills (one two person coed team per post)
11. Active Shooter (one four person team per post)
12. Written Examination (one two person team per post)
13. Tug Of War (one 10 person coed team per post)
14. Obstacle Course (One two person coed team per post)
SECTION 7 RELEASE AND WAIVER OF LIABILITY


RELEASE AND LIABILITY FORM MUST BE COMPLETED FOR EACH PARTICIPANT AND SUBMITTED WITH PAYMENT.

 

SECTION 8 PAYMENT INFORMATION
Payments are due by April 1, 2014.
Refunds will only be available up to April 10, 2014.

All returned checks will be charged a $25.00 service fee
Make checks payable to:
STATEWIDE EXPLORER FUND
601 N. 7TH STREET
SACRAMENTO, CA 95811
SECTION 9 ADDITIONAL INFORMATION
For additional information visit http://www.chp.ca.gov/recruiting/explorers_competition.html.

Matthew Hill, Coordinator
(916) 843-3225
MatHill@chp.ca.gov

Stacy Smith, Coordinator
(916) 843-3228
StSmith@chp.ca.gov
SECTION 10 VERIFICATION
ANY INAPPROPRIATE CONDUCT OR DAMAGE AT THE EVENT CENTER, OR YOUR PLACE OF LODGING, MAY CAUSE YOUR POST TO BE EVICTED FROM THE EVENT WITHOUT A REFUND OF ENTRY FEE.
I verify the information I have submitted is accurate, and understand that unacceptable behavior or actions during this competition can lead to my Explorer Post being dismissed. I verify the information entered is accurate.