Latino Family Summit 2024 - Registration Form
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Name *
Address *
Email
Phone Number *
Ethnicity *
Gender *
Age Range *
Language preference *
Number of children you care for (biological, stepchildren, foster children, Godchildren, nieces/nephews, younger siblings, children you babysit)

 
Please specify the children's ages:
If you have several, separate the ages with a comma.
Specify the school district attended by these children

Workshops:  This year parents will have opportunities to select one topic that will be explored for 2.5 hours, to explore theory and practice to build capacity to use the information at home.

What topic would you like to explore? (Select one choice)

*

How many youth (13-17 years old) will come with you to the workshops?

How many children under 12 years old need childcare? Limited space. 

We will confirm if we have space

How did you hear about the event? 
*
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