Florida Department of Education
    ?
    Office of Early Learning
    ?
    Attachment B
    ?
    Registration Form
    ?
    FLKRS
    ?
    Training Meeting
    ?
    Spring 2007
    ?
    Please complete this form and return via email to
    cathy
    .cross
    @fldoe.org
    at the Department of
    Education, Office of Early Learning or FAX to (850) 245-5105. If you have questions regarding this
    form, please call Cathy Cross at (850) 245-9916.
    DEADLINE: April 15, 2007
    DISTRICT NAME:
    will be participating
    will not be participating
    Please check the box next to the location for the training your district will attend.
    LOCATION
    DATE
    PAEC
    04/30/07
    ?
    Leon
    05/01/07
    ?
    Kissimmee
    05/02/07
    ?
    Orange
    Park
    05/03/07
    ?
    Tampa
    05/07/07
    ?
    Collier
    05/08/07
    ?
    Palm
    Beach
    05/09/07
    ?
    Dade
    05/10/07
    ?
    Please enter the name, telephone and email address of the individual(s) attending
    (Recommended 4 per district, additional spaces for large districts).
    NAME OFFICE
    TELEPHONE
    EMAIL
    1.
    2.
    ?
    3.
    ?
    4.
    ?
    5.
    ?
    6.
    ?
    7.
    ?
    8.
    ?
    1
    ?
    Florida Department of Education
    Office of Early Learning
    Attachment B
    ?
    Registration Form
    ?
    FLKRS
    ?
    Training Meeting
    ?
    Spring 2007
    ?
    CONTACT INFORMATION
    NAME:
    TELEPHONE:
    ?
    EMAIL:
    ?
    2
    ?

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