FLORIDA DEPARTMENT OF EDUCATION
FITNESS, FUN, FOREVER:
GAMES AND FITNESS ACTIVITIES FOR ANYTIME
PARTICIPANT REGISTRATION FORM
PLEASE MARK DESIRED LOCATION:
October 6, 02 – Tallahassee
November 2, 02 – Miami
November 23, 02 – Orlando
FIRST
NAME:
LAST
NAME:
JOB TITLE:
EMPLOYER:
WORK ADDRESS:
(city, state, zip)
PHONE:
FAX:
EMAIL:
PLEASE LET US KNOW IF YOU REQUIRE ANY SPECIAL ACCOMMODATIONS AT THE MEETING:
PLEASE RETURN BY SEPTEMBER 16, 2002 TO:
DEPARTMENT OF EDUCATION
COORDINATED SCHOOL HEALTH PROGRAM
325 W. GAINES STREET
◆
SUITE 501
TALLAHASSEE, FL 32399-0400
ATTN: DEBRA BETTON
OR
FAX: (850) 488-9840 / SUNCOM FAX: 278-9840