Connect-In-Place Interest Form
Please fill out this interest form to be added to our newsletter for updates.

Please note: this is NOT a sign-up form.

Class sign-ups for Session 1 are now open and will be due at midnight PST on Wed, June 17. Sign up through our newsletter here: https://mailchi.mp/b7b2125ef4b3/action-required-sign-up-link-for-connect-in-place-classes?e=cb07ff82ff

Class sign-ups for Session 2 (July 20-August 14) will be sent out on the week of July 6. If you fill out this form, you will be notified when sign-ups are sent out.

For more information, check out our website: https://www.connectinplace.org/
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Full name (parent) *
Name (child) *
What grade will your child start next fall? *
Email Address *
Which programs would your child be interested in? *
Required
Which session topics would your child be interested in? *
Required
What content would you like to see covered in session(s) on your child's behalf? How can we make sessions interesting and engaging for your child? *
If applicable, what types of support groups would your child be interested in? (E.x. Stress management group, Ethnic group, language-speaking group, LGBTQ+, general COVID-struggles support group, etc.)
How did you hear about us? *
Any questions or comments?
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