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.

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* 1. First Name

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* 2. Last Name

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* 3. Preferred phone number

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* 4. Preferred E-mail address

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* 5. When were you certified as an adult vision screener by Prevent Blindness?

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* 6. Do you have the near and distance acuity charts as well as Registration/Risk Assessment Forms?

Yes

No

Other (please specify)

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* 7. Do you have any specific questions you'd like to see addressed at the workshop?

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* 8. Additional comments