Epstein Secrets

versity/School Name: Campus: Address (Street Address) County Employer (City) Contact: (Stale) (Zip) 3. K Student O E mph:not O Volunteer University/School Name. Start Date: End Date: Campus: Address. (Street Address) County Employer. (City) Contact: . (State) (10) Cyber Communication Accounts K

ST maintain registration for the duration of my life. {F.S. 943.0435(11); 775.21(6)(1)). PLEASE READ CAREFULLY REFORE SIGNING As a sexual predator (Florida Statute 775.21) or sexual offender (Florida Statute 943.0435, 944.607, or 985.4815), I am required by law to abide by the requirements listed on this form. BY SIGN

mpus Activity 0 I am NOT a student, employes, or volt, ntOr at • tchterstty or Institution of higher reaming. 1. E Sltodanl ❑Employs O Vo'interir University/School Name Address County Stan Dale Cimpun (Street Address) Employer: ity) End Date: Contact Slab.% Professional Licenses O I do NOT have any profess

TRATION INFORMATION IS PUBLISHED ON THE FDLE PUBLIC SEXUAL PREDATOR AND OFFENDER WEBSITE. PLEASE READ CAREFULLY BEFORE SIGNING Asa sexual predator (Florida Statute 775.21) or sexual offender (Florida Statute 943.0435, 944.607, or 985.4815), I am required by law to abide by the requirements listed on this form. BY SIGN

Campus Activity O I am NOT • student, employs*, or valuators at a university or Institution of higher Miming_ 1. p som.m O Employ.. p Voluntary University/School Name Address County Stan Date End Date. Campus. (Street Address) Employer: (City) Contact: (State) (Zip) Professional Licenses a I do NOT have a

ISTRATION INFORMATION IS PUBUSHED ON THE FDLE PUBUC SEXUAL PREDATOR AND OFFENDER WEBSITE. PLEASE READ CAREFULLY BEFORE SIGNING As a sexual predator (Florida Statute 775.21) or sexual offender (Florida Statute 943.0435, 944.607, or 985.4815), I am required by law to abide by the requirements fisted on this form. BY SIGN