Virtual Advanced Training Wheels 2021 Registration Form Note: The Advanced Training Wheels course will be an in-depth look at issues influencing choice of bikeway design and how to deal with transitions, intersections and other concerns. Question Title 1. Contact Information First name Last name Organization Job title Email address Phone number (include area code, please) Question Title 2. Course participation (Check up to two dates, a part I and/or part II, that you would like to attend). September 16, Part II, 1:00 to 4:00 PM, optional 4:10-5:00 Ask the Expert Question Title 3. If available, will you be applying for P.E. continuing education credits? Yes No Question Title 4. Have you attended a Training Wheels class before? Yes No Question Title 5. Do you require any accommodations? Yes No Accommodations can be made for persons who require mobility, visual, hearing, written, or other assistance for participation. Large print materials, auxiliary aids or the services of interpreters, signers, or readers are available upon request. Please contact Orlando Curry at 517-335-4381 or complete Form 2658 for American Sign Language (ASL) located on the Title VI webpage: https://www.michigan.gov/mdot/0,4616,7-151-9621_31783---,00.html. Requests should be made at least five days prior to the meeting date. Reasonable efforts will be made to provide the requested accommodation or an effective alternative, but accommodations may not be guaranteed. Confirmations will be sent in the week of July 26 for the August classes and the week of September 6 for the September classes. Thank you for your interest in Training Wheels 2021! Done