TALK Learning Session Registration Please complete the form below to register for the Thursday, August 4, 2016 in-person learning session at the Ohio AAP Offices at 94-A Northwoods Boulevard in Columbus. The session will take place from 12:00-5:30pm. Name of Practice/Organization * Email Address of Individual Completing Registration Form * Learning Session Attendee #1 First Name LS Attendee #1 Last Last Name, Credentials Learning Session Attendee #2 First Name LS Attendee #2 Last Last Name, Credentials Learning Session Attendee #3 First Name LS Attendee #3 Last Last Name, Credentials Learning Session Attendee #4 First Name LS Attendee #4 Last Last Name, Credentials Food Allergies Please indicate if any individuals have special dietary restrictions/food allergies. If yes, use the space to indicate the individual and their restriction. Number of Exam Rooms If you are human, leave this field blank.