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Sponsored by the United States Department of Health & Human Services, Administration on Developmental Disabilities, and the Florida Developmental Disabilities Council, Inc.
 
 

Agency for Persons with Disabilities State of Florida

Guardian Pooled Trust

Office of Public Guardian, Inc.

Statewide Public Guardianship Office

 
 

Lighting The Way Project Address
2292 Wednesday St. Suite #1
Tallahassee, FL 32308
1-866-615-0284 x. 107
Fax: 850-922-2986
Helpis@Guardianshiptraining.Com
Family Training Workshop On-Line Registration
Last name: First name:
I am a: Parent Other family member Person with a disability Other (non-family service provider)
Address:
City: State: Zipcode:
Home Phone: Other Phone:
Email:
Check the location of the Training Workshop you will attend: (all locations are ADA compliant)
July 10, 2010, Pensacola, FL- Pensacola Crowne Plaza (Registration deadline is June 30, 2010)*
July 31, 2010, Miami, FL- Miami Airport Marriott (Registration deadline is July 16, 2010)*
August 14, 2010, Orlando, FL- Orlando/Lake Mary Marriott (Registration deadline is July 30, 2010)*
* Each location has limited seating and registrations.
I will require: Sign Language interpretation Large Print Material Spanish Translator (Miami Only)
Vegetarian Plate
Other Please Describe Needs Here:

Individuals with disabilities and their families can attend this workshop at no cost. A limited amount of funds are available for travel reimbursements for individuals and families who incur travel costs to attend one of these sessions. In order to qualify, participants must reside in the state of Florida and have traveled at least fifty (50) miles or more.

NOTE: All assistance is based on availability of funding not to exceed $100.00 per family

I would like to request Financial Assistance (not to exceed $100) for:
Hotel Meal Mileage
I, my children, or family receive services through one or more of the following.
Agency for Persons with Disabilities Brain & Spinal Cord Injury Program Children’s Medical Services (CMS)
Children’s Mental Health Program Early Steps Program Food Stamps
Medicaid Public Housing SSI
Vocational Rehab    
Questions regarding the Training Workshops may be emailed to helpis@guardianshiptraining.com -or- you may call: 1-866-616-0284 extension 107.