The Florida Department of Health in Charlotte County (DOH-Charlotte) invites you to attend free A Matter of Balance classes from Monday, November 9, to Monday, December 28, 2026. The classes will be held Mondays from 10 a.m. – 12 p.m. at West Gov. Annex, 6868 San Casa Dr, Englewood, FL 34224. To sign up, please provide your name, phone number, and email address on this form. For questions, call DOH-Charlotte at 941-624-7200.

1.Please provide your first and last name.

2.Please provide a telephone number, at which you can be reached at.

3.Please provide your current email address.

4.Will you be able to attend at least 5 out of the 8 classes from Monday, May 9th, to Monday, December 28th?

Yes

No