Register here!

Name: ILACEP
Address: 3301 North Mulford Road, Rockford, IL, 61114, US
Telephone: 815-921-4083

First name

Last name

Email

Organization name

Phone

How many will attend?

At which location would you like to attend the Summit?

Prairie State College - Chicago Heights, IL

Vienna High School - Vienna, IL

Is your organization an ILACEP member?

Yes

No

Please list the names and email addresses of all attendees.

$25 per person for non-members*

$