Waiting List: Stepping Stones Registration - Starting 10/28/2020
This class is now full. Fill out the below form to join the wait list.
On Zoom
Wednesdays
12:00 PM - 1:00 PM
October 28
November 4, 18, 25
December 2, 9, 16, 23, 30
January 6, 13, 20
PHONE consultations January 27, February 3, 10
Participants are required to attend all sessions in order to graduate and receive their certificate
* Required
Name (First & Last)
*
Your answer
Email Address
*
Your answer
Phone Number
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Your answer
Street Address
*
Your answer
Zip Code
*
Your answer
City
*
Your answer
State
*
Your answer
County
*
Pima County
Santa Cruz County
Other:
How many adults in your household will take this class?
*
1
2
Other:
Ethnicity
White
Black
Asian
Hispanic
Native American
Two or More Ethnicities
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Gender
Male
Female
Other:
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Do you have a child diagnosed with Autism?
*
Yes
No
Other:
List ages of all children
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Your answer
This class is now full. Would you like to be added to the waitlist?
Yes
No
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