SNC Membership Form
Your information will not be shared without your consent.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number–optional (e.g. 925-123-4567)
Your answer
Volunteering Opportunities
Join our group of volunteers by attending our monthly SNC meetings or help out at any of our sponsored events or become a School Representative: (Please check one box only.) *
Required
TELL US ABOUT YOURSELF
Please tell us if you are a parent/guardian or a PUSD staff/educator:
Select "Other" if you are an independent expert and describe your role (e.g. Advocate, Pediatrician, OT, etc.) Check as many as apply.
YOUR CHILD'S SCHOOL
If you are a parent, which school does your special needs child/children attend?
(Check as many as apply)
SUBSCRIBE TO SNC NEWS
To subscribe to SNC's e-newsletter, check the appropriate box below and follow the directions on how to submit the newsletter subscription form. *
Required
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