REGISTRATION FORM R RE EG GI IS ST TR RA AT TI IO ON N F FO OR RM M Florida Department of Education HIV/AIDS Prevention Education Regional Workshops Promoting Prevention Together Ft. Myers, September 8, 2005 Holiday Inn Select, 13051 Bell Tower Drive 8:00 a.m. – 3:45 p.m. DIRECTIONS Please complete the information form below and check the appropriate box(es) to indicate your attendance plans. Return via fax by September 1, 2005 to: (386) 312-2262 or mail it to: Rachel Purcell, 3841 Reid Street, Palatka, Florida 32177 HIV/AIDS Coordinator School Health Education Coordinator Other School or District Professional County Health Department Personnel Other Choose one session per time period.? (...
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