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* 1. Program/Campus Name

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* 2. Contact Information

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* 3. Please enter the first and last name of each adult learner (each adult learner will have printed on their badge first name, last name and the program name listed above unless otherwise specified)

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* 4. Please enter in the first and last names of tutors who will be attending with adult learners (if the tutor is registered for the conference, they do not need to be listed)

If you would like to have more than 26 Adult Learners attend, please contact Nicole at ncaban@floridaliteracy.org

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