I'm Determined Youth & Parent Mini Summit Registration
Saturday, March 25th, 2017 Millbrook High School
9:00AM - 12:00PM 251 First Woods Drive
Pizza Lunch Provided Winchester, VA 22603

The youth and parent mini-summit is geared toward those receiving special education services. Space is limited and registration is required by February 24th to attend. The I'm Determined Project is a state directed project funded by the Virginia Department of Education which focuses on providing direct instruction, models, and opportunities to practice skills associated with self-determined behavior. Questions should be directed to Susie Gerometta at 540-665-0103.

I'm Determined
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Age
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Student Accommodations Required?
If yes, accommodations needed.
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School
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Grade
SPED Teacher
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T-Shirt Size (Student Only)
Student will be accompanied by:
Each student is required to be accompanied by an adult during the entire summit.
Parent/Guardian Name
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Street Address
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City
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Zip
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Email
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Contact Number
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Parent/Guardian Accommodations Required?
If yes, accommodations needed.
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