Eastern Shore Town Hall Registration
Maryland State Disabilities Plan Town Hall Registration

January 18, 2024 - 10:00 AM
Bay Area Center for Independent Living
31516 Winterplace Pkwy Salisbury, MD 21084

Please use the form below to register for the SDP Eastern Shore Town Hall!

Our current plan ends soon, and we want to know what you think the state's priorities should be in the coming years!
Sign in to Google to save your progress. Learn more
Email *
Name *
Address *
Email Address *
Phone Number *
Do you require an accommodation to access the town hall? 
Clear selection
If you answered "yes" to the question above, please share the accommodation you require. (Please make request at least one week prior to the event)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of State of Maryland. Report Abuse
Google Forms