2018 State Board Mandated Continuing Education Programming
Addressing The Blood-Borne Pathogen Standard

In order to renew your professional license, you MUST have proof of participation in one of following sessions.

~ AFDA Registration Form ~

Programs are being offered at the following locations.

District 1 - September 27, 2018, 6:30 P.M. - 8:30 P.M.— Muscle Shoals Career Academy / 321 Jim Holland Drive, Room - Auditorium, Muscle Shoals, AL / Capacity - 196

District 2 - September 20, 6:30 P.M.- 8:30 P.M.—Snead Community College, 102 Elder Street, Room - Nursing Lecture Hall, Boaz, AL / Capacity 200

District 3 - September 25, 2018, 6:30 P.M.—8:30 P.M.—Tillman’s Corner Community Center, 5055 Carol Plantation Road, Room - Auditorium, Mobile, AL / Capacity 200

District 4 - September 24, 2018, 6:30 P.M. - 8:30 P.M.—Montgomery Museum of Fine Arts, One Museum Drive, Room - Auditorium, Montgomery, AL / Capacity 200
Only One Name May Appear Here / For Additional Licensees, Please See Reverse Side of Form
License Number Must Be Provided Or Registration Will Not Be Processed
You Must Designate Which Session You Will Attend. Your registration will not be accepted without this information. Also, please understand that secondary to seating capacity restrictions, you cannot change your mind at the last minute.
Select Meeting to attend. *
Registration forms should be forwarded to the state association at your earliest convenience, but no later than September 13, 2018. Should you have any questions, please contact Denise Edmisten at 334-956-8000.

Please print below the names of those attending exactly as you would like for them to appear on name badges:
Names
Secondary to limited seating capacities, phoned registrations will not be accepted. So, do everyone a favor and consider registering early and on-line, where registrations are time and date stamped. In this fashion, we can promise a first come, first serve policy
In order to renew your professional license, you MUST have proof of participation in one of following sessions.

Select the + sign to add a row for additional people
Name of Licensee
District Attending
AFS License #
Email
License Number Must Be Provided Or Registration Will Not Be Processed