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Refresh and Re-Certify Webinar
Please note: you need to have attended an Adult Vision Screening training in the past.
Monday, April 17, 2023 , 12:00 pm to 12:45 pm
Registration
Please complete the registration information below
and click the "Done" button.
OK
1.
First Name
2.
Last Name
3.
Preferred phone number
*
4.
Preferred E-mail address
(Required.)
5.
When were you certified as an adult vision screener by Prevent Blindness?
6.
Do you have the near and distance acuity charts as well as Registration/Risk Assessment Forms?
Yes
No
Other (please specify)
7.
Do you have any specific questions you'd like to see addressed at the workshop?
8.
Additional comments
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