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.  
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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.
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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