22^nd FLA ANNUAL WORKSHOP

July 25-26, 2008

Naples Beach Hotel

Registrant Information:

First Name:     Last Name:

Badge Name:

Address:

City: State: Zip:

Work Phone:   Email:

Spouse/Guest Name (as it should appear on badge):

Friday dinner and Saturday breakfast are included in the registration fee. Spouses/Guests must pay guest fee if they will be eating with you. Your registration badge(s) will serve as tickets for all meals.

Registration Fees:

Amount      Description                                                                                       Total
     Advance Registration Fee @ $145.00                                  
     Registration Fee (after 7/10/08) @ $165.00                           
     Spouse/Guest Fee @ $60.00                                                 
      Scholarship Fee @ $60.00 (have spoken with Michael or Judy) 
                    Contribution to Hagan-Kilby Foundation                                
                    Contribution to Workshop Scholarship Fund                         
                                                                                        TOTAL                    

I have:
Mailed my check to FLA at 2601 E. Oakland Park Blvd., Ft. Lauderdale, FL 33306
Paid online through the FLA/PayPal Site and have submitted this form to Florida Lawyers Assistance (PLEASE make sure to click the "Submit" button below)

Ask the Judges Panel: Questions for the Panel

The View From the Bench panel on Friday will be pleased to answer your questions related to the judicial response to substance abuse and mental health issues. There will be an open microphone where you can present your questions to the panel live, or you can submit your question by email, together with this registration form, or anonymously in writing at the workshop.

Your questions: