Registration – Drinking Driver Program (DDP) DDP Registration Name* First Last Email* Phone Number*Date of Birth* MM DD YYYY Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Drivers License # (8 characters)*Court ConvictionCase NumberRequired Program Length*6 Week – 12 Hour Wet Reckless Program3 Month – First Offender Program6 Month – First Offender Program9 Month – First Offender Program12 Month – Multiple Offender Program18 Month – Multiple Offender ProgramUnknownViolation Date MM DD YYYY Comments/Additional InformationA down payment of $160 toward the total program fee is required at the orientation. If you don’t have the down payment at that time, you will still be seen.CAPTCHA AppointmentsQuestionsBrowse SpecialtiesBrowse Specialties
