Registration Form - How to Protect Your Kids if Anything Happens to You

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Thank you for completing the Registration Form. The talk will start promptly at 6:30 pm on Tuesday, May 23, 2017 and will end approximately at 8:00 pm with a Q & A portion at the end. The venue is at Oakhills/Ridgeview Multi-Purpose Room.

Email *

1. What is your name? *

2. Do you have a son/daughter(s) attending any of our schools? *

NOTE: This is not a requirement for attending the talk. We welcome everyone!

YES

3. Would you require childcare? *

We offer this FREE service for parents through our STAR partners.

YES (Please answer questions 4-5)

NO (Do not answer questions 4-5)

4. How many children would require childcare?

NOTE: TK - 8 EUSD students only. Please answer question 6 below.

5. What are the grade levels of your children needing childcare?

NOTE: Please check all those that apply.

TK/K

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

6. Please provide us your email. *

We will use your email to send invites to future events and will not use it for commercial purposes.

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