FLORIDA DEPARTMENT OF EDUCATION
HEALTH: THE ROAD TO SUCCESS
STATEWIDE COORDINATORS’ MEETING
NOVEMBER 21 - 22, 2002
◆
HILTON ORLANDO / ALTAMONTE SPRINGS
◆
ORLANDO, FL
PARTICIPANT REGISTRATION FORM
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 NOVEMBER 1, 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