Presented by:

 

The Florida Department of Education, Bureau of Instructional Support and Community Services

and the Florida Inclusion Network

 

 

 

Workshop Registration Form

 

Directions: Please print or type the requested information below. Indicate the address, phone and E-mail where you can be

reached in the event that we need to contact you regarding your registration.

Completed registrations should be returned to

your district’s Exceptional Student Education (ESE) office. Registrations that do not have the approval of the ESE

Director will not be accepted.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am registering for…

(check all that apply)

 

 

____

Positive Behavioral Supports

 

September 28-29, 2002

  

Crowne Plaza, Tampa Westshore

Registration cut-off: 9/14/02

 

____

Meeting the Communication Needs

of All Students

 

January 25-26, 2003

 

Crowne Plaza, Orlando Airport

 

Registration cut-off: 1/11/03

 

____

Assistive Technology

 

April 12-13, 2003

 

 

Marriott Southpoint, Jacksonville

 

Registration cut-off: 3/29/03

 

  

Participant Contact Information

 

Name:

 

School District:

 

Position:

 

Address:

 

 

 

City/State/Zip:

 

Phone:

Fax:

 

E-mail:

   

ESE Directors: Please collect all of the registration forms from your district, print or type the

participants’ names on the

List of Participants

and fax or mail the list, along with the registration

forms, to Ms. Sheila Dull at Meeting Spots, 148 Longleaf Drive, Crawfordville, FL 32327 or by

fax at (850) 926-7130.

 

 

 

 

 

 

 

 

HOTEL ACCOMMODATIONS AT A SPECIAL RATE!

Make your hotel accommodations DIRECTLY with the appropriate hotel.

 

 

Positive Behavioral Supports

Crowne Plaza, Tampa Westshore

(813) 289-8200

Reservation cut-off: 9/13/02

Room rate: $89.00/night

 

 

Communication Needs for All Students

Crowne Plaza, Orlando Airport

(407) 856-0100

Reservation cut-off: 1/3/03

Room rate: $99.00/night

 

Assistive Technology

Marriott Southpoint, Jacksonville, FL

(904) 296-2222

Reservation cut-off: 3/21/03

Room rate: $89.00/night