FLORIDA DEPARTMENT OF EDUCATION Carol M. White Physical Education Program (PEP) Grant Writing Workshop 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 APRIL 8, 2003 TO: DEPARTMENT OF EDUCATION CURRICULUM SUPPORT 325 W. GAINES STREET u SUITE 444 TALLAHASSEE, FL 32399-0400 ATTN: MATT MCKIBBIN FAX: (850) 922-0028 / SUNCOM FAX: 292-0028
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