OPPC-MUHSEN Taraweeh Respite 
MUHSEN Taraweeh respite will be on Fridays at the Quran Academy in Room 202. 
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Email *
Participant name  *
Age *
Diagnosis  *
Parent/Guardian Name *
Phone Number  *
Emergency Contact Name/Phone Number  *
Participant will be attending...  *
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Preferred Activities  *
Challenging Behaviors  *
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Is the participant toilet trained?  *
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