BLAST-2010 (December 7-9, 2010) Tampa, Florida

Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks.

Florida Legal Services and the Center for Legal Aid Education welcome you to the Basic Lawyering Skills Training (BLaST) on-line registration.

Please be sure to have your program's approval to attend this training before submitting an on-line registration. Registrations received on-line are assumed to have been approved by your program. REGISTRATION DEADLINE - OCTOBER 29, 2010

The Basic Lawyering Skills Training (BLaST) will be held at the Embassy Suites Hotel -USF/Busch Gardens, 3705 Spectrum Blvd, Tampa FL, Tuesday-Thursday, December 7-9, 2010. You will be responsible for making your own hotel reservations (see Recommended Hotel Accommodations section below). Hotel reservations must be received by NOVEMBER 5, 2010. Reservations requested after that date will be accepted based upon availability at the hotel's prevailing rate.

The room rate is $101/per night.

If you have any questions please contact Kathy Grunewald or Sharon Ferguson at the email addresses or telephone numbers listed below.

Thank you.

Kathy Grunewald
Director of Statewide Training
kathy@floridalegal.org
850-385-7900 ext 1801
850-385-9998 (fax)

Sharon Ferguson
Training Coordinator
sharon@floridalegal.org
904-768-8561
904-768-9461 (fax)

Please provide the following (*required)

First Name*

Last Name*

Email*

Program Information

1.	Legal services/Legal Aid program name (Please provide program's full name, DO NOT use acronyms)

2.	Program Mailing Address

3.	Phone Number

4.	Fax Number

TRAINING PARTICIPANTS - ONLY: Please provide the billing address for your program's Accounting Department. If the address is the same as listed in Question #2 (Program Mailing Address), please leave blank. Please note, this address will only be used IF you require rooming accommodations for the BLAST training. A "Not Applicable" notation is not necessary.

General Information

6.	I am registering as a:

	Faculty Member (Skip to Q. 10)
	Training Participant

Your role

	Advocacy - Attorney: Staff Attorney (Senior - 3 or more years experience)
	Advocacy - Attorney: Staff Attorney (Junior - 0 to 3 years experience)
	Advocacy - Attorney: Director
	Advocacy - Attorney: Supervising Attorney
	Advocacy - Paralegal (Senior - 3 or more years experience)
	Advocacy - Paralegal (Junior - 0 to 3 years experience)
	Administration - Executive Director
	Administration - Deputy Director
	Administration - Managing Attorney
	Other:

8.	List your YEARS in practice:

9.	List your YEARS in legal aid (including with your CURRENT organization):

Dietary Needs

PLEASE NOTE: We cannot guarantee true vegetarian/vegan meals. Nor can we provide or guarantee food is free of any specific allergen (e.g. soy, diary, wheat, nuts, etc.). Any participant likely to suffer a severe anaphylactic reaction to an allergen or on a restrictive diet may want to consider bringing their own food items.

10.	My dietary needs are

	None
	Vegetarian (No animal products, only vegetables, fruits, and sometimes eggs or dairy products)
	Vegan (Strict - no animal food or dairy products)

Hotel Accommodations

A rooming block has been reserved at the Embassy Suites-USF/Busch Gardens, Tampa, FL. Reservations can be made by emailing Ermy Rosales, at ermy.rosales@jqh.com or by calling 813-977-7066. To receive the group rate you must identify yourself as part of the" BLAST" training. Room rates are $101.00 per night.

Reservations must be made by NOVEMBER 5, 2010 . Reservations made after this date will be accepted based upon availability at the hotel's prevailing rate.

Cancellations must be made by 4:00 p.m. the day before arrival (please verify cancellation policy when making your reservation).

All hotel rooms will be master billed to Florida Legal Services. No credit card will be needed to book reservations. A credit card will be needed at check-in to cover incidentals. Florida Legal Services will bill your program for your rooming accommodations. Please note, should you withdraw from the conference, you must remember to cancel your hotel reservations (if applicable). Should a failure to cancel your reservation result in a "No Show" charge to the FLS master account, we will bill your program.

Thank you

Please be sure you have provided a viable work email address, all future communications will be through emails.

You will receive a confirmation email once your registration is completed. Occasionally due to email restrictions this confirmation may not be accepted by your email server. DO NOT submit another registration. Contact our Training Coordinator, Sharon Ferguson at sharon@floridalegal.org to confirm whether your registration was received.

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