SEAC - January 14, 2019 - Free Child Care Sign Up Form (Sign up by Friday Jan. 11)
The Jackson School District Special Education Advisory Committee (SEAC) is sponsoring a workshop on Monday, Jan. 14, 2019 at Jackson Liberty High School's IMC (library).


6:30 – 8:00 p.m. Life After School

Email address *
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 Jan. 11, 2018.
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. *
Required
Contact phone number *
Please list the best number to contact you, with area code.
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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