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Child Find Order Form
This form allows you to order Child Find Materials and submit your request online directly to Debbie Pinkerton at CESA 6.
Shipping is not covered by grant funding. Materials will be delivered to your local CESA office. Delivery can take 2-4 weeks.
Child Find Materials funded by: Wisconsin Department of Public Instruction IDEA Preschool Discretionary Grant 2016-14-74-9906-70.
Your full name:
Your answer
School District/Agency:
Your answer
Which CESA serves you?
Address - include: City, State & Zip
Your answer
Your email address:
Your answer
Your phone number w/ ext:
Your answer
Date you need materials by:
Your answer
How do you intend using the materials and with whom will you share? *
Your answer
Child Find Pen - Blue pen/black ink w/ silver Child Find imprinted with logo & 'Finding Children with Special Needs'.
Child Find Pen
I need # Pens
Your answer
Child Find Lined Sticky Note Pad - 4"x6" imprinted with logo & 'Concerned about a child's development? Contact your local school district.'
Child Find Note Pad
I need # Note Pads
Your answer
Child Find Brochure for SCHOOL DISTRICT PERSONNEL ONLY - contains information for Child Find Requirements
Brochure for School District Personnel only
I need # School District Brochures
Your answer
For questions please contact:
Debbie Pinkerton, 920-236-0548 or
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