309N. Parkway Jackson, TN 38305 May 2005 by txi18521


									309 N. Parkway
Jackson, TN 38305
May 2005

Dear potential Dining with Diabetes participant,

The name has changed, but the information is still just as important! Planning for the 2005
Dining with Diabetes program is complete.

 h e r ei ia
   s      s e
T iy a’s r ss two-part program. The second session builds upon the first. Therefore,
please note that you are registering for and expected to attend both sessions. All programs will
be held at the Madison County Ag Complex Auditorium, 309 N. Parkway, Jackson. Following
are dates and times:

                      Evenings—June 7 and 9 (5:30 to 8 p.m.)
                    Mornings—June 8 and 10 (9:30 a.m. to noon)

If you would like to register for the program, please complete and return the form below along
with a $10 registration fee to the Extension Office by June 1. Space is limited. Registration fee is
transferable, but not refundable. If you have questions, please call me at 668-8543.


Amy H. Elizer
Extension Agent

Please return to the Extension Office (309 N. Parkway, Jackson, TN 38305) by June 1
along with $10 registration fee (check made out to Madison County Extension Service).

Name: _______________________________________________________________

Telephone Number: _____________________________________________________

Session: Mornings (June 8 and 10) ______Evenings (June 7 and 9) ______

Have you ever seen a dietitian relative to your diabetes? Yes _____No _____

Have you ever taken a diabetes class? Yes _____                      No _____

If you have taken a class, where? __________________________________________

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