Parent Workshop - October 16, 2013

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Please take a few minutes to complete the form below to register for our October 16 parent workshop with Dr. Don Sheffield.

Last Name *

First Name *

Preferred Phone Number *

Preferred Email *

Number of Adults Attending *

Number of Children Attending (if none, please enter 0) Childcare will be available. *

Ages of Children Attending (for multiple ages, please separate with a comma)

Will you be joining us for dinner, which is provided FREE from 5:30 - 6:30 p.m.? The presentation will begin promptly at 6:30pm. *

Yes

Did you attend any of the Parent Workshop sessions with Dr. Sheffield last school year? *

Yes

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