Yoga for Children with Special Needs

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Welcome to the Sign Up sheet for the JCC of Central NJ's Special Needs Parenting Group. This form is for the upcoming event,Yoga for Children with Special Needs, on Sunday October 20th/noon at the JCC in Scotch Plains, NJ.

To help us prepare, please complete the below form. This information will not be shared with any parties other than the instructor. Any questions, please send a note to SpecialNeeds@jccnj.org. Thank you, and we look forward to seeing you there.

Please provide information about the participating children

Child 1 Name (first, last) *

Child 1 Age *

Please describe Child 1's specific special needs *

Child 2 Name (first, last)

Child 2 Age

Please describe Child 2's specific special needs

Child 3 Name (first, last)

Child 3 Age

Please describe Child 3's specific special needs

Please provide information about the parent(s) participating in the event (note: parent or guardian attendance is mandatory)

Parent Name(s) *

Parent email address *

Additional information and comments

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