SEAC - October 7, 2019 - Free Child Care Sign Up Form (Sign Up by Friday, Oct. 4)
The Jackson School District Special Education Advisory Committee (SEAC) is sponsoring a workshop on Monday, October 7, 2019 at Crawford-Rodriguez Elementary School's IMC (library).

A Question & Answer Roundtable with
Teresa Herrero Taylor, PhD BCBA-D
Jackson School District’s New Director of Special Services

Date: Monday, October 7, 2019
Time: 6:00 PM - 7:30 PM
Location: Crawford-Rodriguez Elementary School
1025 Larsen Road
Use this form to sign up for our FREE child care at this location so you can focus on the workshops. All child care will be provided by Jackson School District staff members. This form will close on Friday Oct. 4, 2019.
First Name of Parent/Guardian *
Your answer
Last Name of Parent/Guardian *
Your answer
Number of CHILDREN attending who need child care services *
Please tell us the number of children attending.
Your answer
How old is the child who will be attending? Check all that apply. *
Contact phone number *
Please list the best number to contact you, with area code. We will need this in case we need to contact you.
Your answer
Contact e-mail address *
Please list the best e-mail address to contact you.
Your answer
Please us this area to let us know if there are any special needs or accommodations your child will need during his/her time with us during this event?
Your answer
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