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Parenting with a Disability Support Group
After completing this form please make payment of $100 ($50 for the first month of registration)for program fee via e-transfer to
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First Name *
Last Name *
Contact Number *
How many Children do you have? *
Contact Email
What accommodations do you require to ensure you have a positive experience in this workshop?
What are some questions on your mind? Or what would you like to know by attending this workshop / support group?
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