ONLINE REGISTRATION FOR
Keepin' it REAL (KIR) Elementary 2012
June 26, 2012 (Tuesday)
1:15 p.m. – 4:15 p.m.
Maumee Bay State Park Lodge
Heron/Egret/Tern Room
1750 State Park Road
Oregon, Ohio 43618

Submit Date

Registering for the following date

Last Name

First Name

Rank/Title

Law Enforcement Agency

Address

City Zip County

Work Phone/VM Fax

Email

(confirmation will be sent to you via email)

Approximately how many children do you teach the elementary curriculum?

 

Pay Options: ($50 payable to Law Enforcement Foundation)

I will send a check US mail

I need an invoice

I am using a PO #

 

Comments:

 

 

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