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Body Piercing Course Registration Form

Florida Department of Health in Broward County

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APPROVED BODY PIERCING COURSE

                        $75.00 per Person

Certificate of Completion - Upon completion of the class

you will receive a certificate of completion .

All Body Piercers are required to attend an annual

training class. Pre-registration required

This course meets the requirements of F.A.C. 64E-19.

1. WHERE\WHEN:

           April 21, 2020 12:00 PM To 4:30 PM

           Administration Center

           Main Auditorium, Room 15

           780 SW 24th Street

           Fort Lauderdale, FL 33315

2. CHOOSE YOUR METHOD OF REGISTRATION

            Mail or On-line:  Florida Department of Health in

            Broward County

            780 SW 24th Street, Fort Lauderdale, FL 33315 or

            FAX REGISTRATION FORM TO 954-713-3116 or

            Register On-line Below

3. CHOOSE YOUR METHOD OF PAYMENT

   Mail Money Order: 

          Florida Department of Health-Broward

          780 SW 24 Street, Fort Lauderdale, FL 33315             

   Pay by Credit Card:  

          Fax credit card authorization to 954-467-4434

   Pay in person:  

          2421-A SW 6 Avenue

          Fort Lauderdale, FL 33315 

    No Personal Checks Accepted On Day Of Class Presented 

4. Question? Please Call:

          Shirrell Donovan 954-270-0037 or  Marquena Boyd  954-829-2742

NO WALK-UP REGISTRATION THE DAY OF CLASS

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead contact these offices by phone or in writing.

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