Registration Form - Exploring ADHD
Thank you for reserving a spot. The talk will start promptly at 6:00 pm on October 26 and will end approximately at 8:00 with a Q & A portion at the end. The venue is at the Maidu Multi-Purpose Room. Parents may choose to have their child attend with them, however, content discussed during the workshop may include sensitive topics.
1. What is your name?
2. Do you have a son/daughter(s) attending any of our schools?
NOTE: This is not a requirement for attending the talk. We welcome everyone!
3. Would you require childcare?
We offer this FREE service for parents through our STAR partners.
YES (Please answer questions 4-5)
NO (Do not answer questions 4-5)
4. How many children would require childcare?
NOTE: TK - 8 EUSD students only. Please answer question 6 below.
5. What are the grade levels of your children needing childcare?
NOTE: Please check all those that apply.
6. Please provide us your email.
We will use your email to send invites to future events and will not use it for commercial purposes.
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This form was created inside of Eureka Union School District.