Good Seed Event Registration - SSI Benefit seminar
When: 2/23/19 (Sat) 10am - noon

Speaker: Sarah Kim (SSA Social worker)

Where: Good Soil Church 860 Harriet Ave, Campbell, CA 95008

Please understand we cannot guarantee childcare if registered after 2/17/19.

Email address *
Parent Name *
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Cell phone number
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Child #1 Name (if childcare is needed)
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Child #1 Age
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Child #1 Special needs if any
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Child #2 Name (if childcare is needed)
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Child #2 Age
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Child #2 Special needs if any
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A copy of your responses will be emailed to the address you provided.
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