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REGISTRATION FORM
Pre-Registration is required to attend and Space is limited
(Please Print Clearly)
Registration cut-off dateOctober 27, 2014
Workshops Include:
STEMScience, Technology, Engineering and Math
Social Media/Bullying
How to Avoid Power Struggles
Reading Fluency
Creating Family Friendly Schools & Partnerships
Family Nutrition/Health
Understanding Florida State Standards
And more!
Welcome Address: Superintendent Dr. Michael Grego
Pinellas County Schools
Keynote Speaker: Mr. Ralph Martin, Attorney, President and CEO of RKRM
Consulting; Second Chances Rarely Come Twice
Name
Phone
Email
District
School/Job Site
Primary Role
Educator Parent Community Member
Make checks payable to Pinellas Ed Foundation/AFE ($65.00) and mail by
10/27/14 to the Office of Strategic Partnerships, Family & Community Relations, 301
Fourth Street SW, Largo, FL 33770
For group checks, please complete a separate registration form for each person at-
tending or attach a list of all names and email addresses.