2. Please register below using our online registration form. Details are available on the Main Calendar.
   
   If you experience technical difficulties with online registration, please contact Michele Keplinger at michelek@lgit.org for assistance.
4. Regional Defensive Driving Training Registration
   Wednesday, June 1, 2022 - Ocean City
   4001 Coastal Highway
   Ocean City, MD 21842
   8:30am - 3:30pm
6. Contact Name*
7. Email*
9. Contact Job Title
10. Contact Department
12. Phone Number*
14. Street Address*
15. P.O. Box
17. City*
18. State*
19. Zip Code*
21. Attendee(s) Information:
23. Local Government*
25. First Attendee:
27. First Name*
28. Middle Initial
29. Last Name*
31. Job Title
32. Department
34. Second Attendee:
36. First Name
37. Middle Initial
38. Last Name
40. Job Title
41. Department
43. Third Attendee:
45. First Name
46. Middle Initial
47. Last Name
49. Job Title
50. Department
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field